Provider Demographics
NPI:1962526970
Name:RHEE CHIROPRACTIC, PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:RHEE CHIROPRACTIC, PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:I
Authorized Official - Last Name:RHEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:310-497-4351
Mailing Address - Street 1:11400 W OLYMPIC BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-1588
Mailing Address - Country:US
Mailing Address - Phone:310-497-4351
Mailing Address - Fax:
Practice Address - Street 1:11400 W OLYMPIC BLVD STE 100
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-1588
Practice Address - Country:US
Practice Address - Phone:310-497-4351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-30477111N00000X, 111NR0400X, 111NS0005X, 111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Not Answered111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
Not Answered111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty
Not Answered111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Multi-Specialty