Healthcare Provider Details
I. General information
NPI: 1609944198
Provider Name (Legal Business Name): CHRISTOPHER FRANCIS DE BORHEGYI DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/01/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1512 N LAS PALMAS AVE
LOS ANGELES CA
90028-7110
US
IV. Provider business mailing address
1512 N LAS PALMAS AVE
LOS ANGELES CA
90028-7110
US
V. Phone/Fax
- Phone: 323-463-1300
- Fax:
- Phone: 323-463-1300
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | DC26705 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: