Provider Demographics
NPI:1225835374
Name:CARMICHAEL DISC CENTER LLC
Entity type:Organization
Organization Name:CARMICHAEL DISC CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HONGTRUC
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:916-680-9989
Mailing Address - Street 1:5150 FAIR OAKS BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-5758
Mailing Address - Country:US
Mailing Address - Phone:916-680-9989
Mailing Address - Fax:916-680-9977
Practice Address - Street 1:5150 FAIR OAKS BLVD STE 104
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-5758
Practice Address - Country:US
Practice Address - Phone:916-680-9989
Practice Address - Fax:916-680-9977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-26
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty