Provider Demographics
NPI:1427635754
Name:BIGNONE CHIROPRACTIC INC
Entity type:Organization
Organization Name:BIGNONE CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DIEGO
Authorized Official - Middle Name:ANDRES
Authorized Official - Last Name:BIGNONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:310-629-6695
Mailing Address - Street 1:213 S PACIFIC COAST HWY
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-3353
Mailing Address - Country:US
Mailing Address - Phone:310-904-4097
Mailing Address - Fax:
Practice Address - Street 1:213 S PACIFIC COAST HWY
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-3353
Practice Address - Country:US
Practice Address - Phone:310-904-4097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty