Healthcare Provider Details

I. General information

NPI: 1821314097
Provider Name (Legal Business Name): K. Y. CHAU, D.C., A CHIROPRACTIC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2010
Last Update Date: 04/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

838 N HILL ST STE A
LOS ANGELES CA
90012-2321
US

IV. Provider business mailing address

838 N HILL ST STE A
LOS ANGELES CA
90012-2321
US

V. Phone/Fax

Practice location:
  • Phone: 213-617-6337
  • Fax: 213-617-9236
Mailing address:
  • Phone: 213-617-6337
  • Fax: 213-617-9236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberDC17056
License Number StateCA

VIII. Authorized Official

Name: KIT YUEN CHAU
Title or Position: OWNER
Credential: D.C.
Phone: 213-617-3667