Healthcare Provider Details

I. General information

NPI: 1003605726
Provider Name (Legal Business Name): OREND INTEGRATIVE CHIROPRACTIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2025
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2009 ARTESIA BLVD STE B
REDONDO BEACH CA
90278-3074
US

IV. Provider business mailing address

2009 ARTESIA BLVD STE B
REDONDO BEACH CA
90278-3074
US

V. Phone/Fax

Practice location:
  • Phone: 310-372-8020
  • Fax:
Mailing address:
  • Phone: 310-372-8020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: LIESEL G OREND
Title or Position: PRESIDENT
Credential: DC LAC
Phone: 310-372-8020