MEDICARE: LA AGAPE CHIROPRACTIC & HEALING CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1467395764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LA AGAPE CHIROPRACTIC & HEALING CENTER, INC.

Provider Business Mailing Address
First Line	:	903 CRENSHAW BLVD STE 202
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90019-1966
Country	:	US
Telephone Number	:	213-935-7575
Fax Number	:	213-935-7576

Provider Business Practice Location Address
First Line	:	903 CRENSHAW BLVD STE 202
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90019-1966
Country	:	US
Telephone Number	:	213-935-7575
Fax Number	:	213-935-7576

Authorized Official
Title or Position	:	CEO
Name	:	RYAN CHOI
Credential	:	DC
Telephone Number	:	213-935-7575

Provider Enumeration Date	:	04/11/2026
Last Update Date	:	04/11/2026

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