Healthcare Provider Details

I. General information

NPI: 1730463563
Provider Name (Legal Business Name): R. CHEN CHIROPRACTIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2011
Last Update Date: 07/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20905 GOLDEN SPRINGS DR
DIAMOND BAR CA
91789-3806
US

IV. Provider business mailing address

20905 GOLDEN SPRINGS DR
DIAMOND BAR CA
91789-3806
US

V. Phone/Fax

Practice location:
  • Phone: 909-468-2192
  • Fax:
Mailing address:
  • Phone: 909-468-2192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberDC30668
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT29435
License Number StateCA

VIII. Authorized Official

Name: DR. ROBBY M CHEN
Title or Position: OWNER
Credential: D.C.
Phone: 909-468-2192