Provider Demographics
NPI:1427189190
Name:MICHAEL CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:MICHAEL CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAI-LING
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHAEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-760-7847
Mailing Address - Street 1:6180 LAUREL CANYON BLVD
Mailing Address - Street 2:SUITE 270
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-3231
Mailing Address - Country:US
Mailing Address - Phone:818-760-7847
Mailing Address - Fax:818-762-1736
Practice Address - Street 1:6180 LAUREL CANYON BLVD
Practice Address - Street 2:SUITE 270
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-3231
Practice Address - Country:US
Practice Address - Phone:818-760-7847
Practice Address - Fax:818-762-1736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14156111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty