Healthcare Provider Details

I. General information

NPI: 1487391975
Provider Name (Legal Business Name): RE-LAX CHIROPRACTIC, YANG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2022
Last Update Date: 05/02/2024
Certification Date: 05/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8929 S SEPULVEDA BLVD STE 100
LOS ANGELES CA
90045-3616
US

IV. Provider business mailing address

8929 S SEPULVEDA BLVD STE 100
LOS ANGELES CA
90045-3616
US

V. Phone/Fax

Practice location:
  • Phone: 424-800-2488
  • Fax: 310-828-3532
Mailing address:
  • Phone: 310-497-7503
  • Fax: 310-828-3532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA YANG
Title or Position: PRESIDENT
Credential: DC,
Phone: 424-800-2488