Healthcare Provider Details
I. General information
NPI: 1518522119
Provider Name (Legal Business Name): TRILOGY HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/08/2019
Last Update Date: 05/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
670 MONTEREY PASS RD STE 100
MONTEREY PARK CA
91754-2437
US
IV. Provider business mailing address
670 MONTEREY PASS RD STE 100
MONTEREY PARK CA
91754-2437
US
V. Phone/Fax
- Phone: 626-545-2880
- Fax: 626-545-2881
- Phone: 626-545-2880
- Fax: 626-545-2881
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 204D00000X |
| Taxonomy | Neuromusculoskeletal Medicine & OMM Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NX0100X |
| Taxonomy | Occupational Health Chiropractor |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CHRISTOPHER
C
YU
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 714-425-3804