Healthcare Provider Details

I. General information

NPI: 1407585961
Provider Name (Legal Business Name): HEALTH-FIT CHIROPRACTIC AND SPORTS RECOVERY WELLNESS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2022
Last Update Date: 06/08/2022
Certification Date: 06/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22005 AVALON BLVD STE F
CARSON CA
90745-7167
US

IV. Provider business mailing address

22005 AVALON BLVD STE F
CARSON CA
90745-7167
US

V. Phone/Fax

Practice location:
  • Phone: 833-357-3639
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: GEMA REYES
Title or Position: PRESIDENT
Credential: DC
Phone: 213-479-7504