Healthcare Provider Details

I. General information

NPI: 1699851253
Provider Name (Legal Business Name): LYNOTT CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2006
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: 562-594-6114
Mailing address:
  • Phone: 562-594-6644
  • Fax: 562-594-6114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

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