Healthcare Provider Details

I. General information

NPI: 1255743951
Provider Name (Legal Business Name): LYNOTT CHIROPRACTIC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2014
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5512 E BRITTON DR SUITE 100
LONG BEACH CA
90815-3146
US

IV. Provider business mailing address

5512 E BRITTON DR SUITE 100
LONG BEACH CA
90815-3146
US

V. Phone/Fax

Practice location:
  • Phone: 562-594-6644
  • Fax:
Mailing address:
  • Phone: 562-594-6644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC11500
License Number StateCA

VIII. Authorized Official

Name: DR. NATHANIAL FREDERICK LYNOTT
Title or Position: DOCTOR/PRESIDENT
Credential: D.C., L.AC
Phone: 562-594-6644