Healthcare Provider Details

I. General information

NPI: 1558281139
Provider Name (Legal Business Name): MA CHIROPRACTIC CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E EMERSON AVE
MONTEREY PARK CA
91755-1709
US

IV. Provider business mailing address

110 E EMERSON AVE
MONTEREY PARK CA
91755-1709
US

V. Phone/Fax

Practice location:
  • Phone: 626-572-8002
  • Fax: 626-249-5394
Mailing address:
  • Phone: 626-572-8002
  • Fax: 626-249-5394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SIMON MA
Title or Position: PRESIDENT
Credential: DC
Phone: 650-248-3194