Healthcare Provider Details

I. General information

NPI: 1689538936
Provider Name (Legal Business Name): MAIA CHIROPRACTIC ORGANIZATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 ROCKLIN RD
ROCKLIN CA
95677-3334
US

IV. Provider business mailing address

22938 KESWICK ST
WEST HILLS CA
91304-4514
US

V. Phone/Fax

Practice location:
  • Phone: 310-867-0935
  • Fax:
Mailing address:
  • Phone: 310-869-6192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JUSTIN P MAIA
Title or Position: PRESIDENT/OWNER
Credential: DC
Phone: 310-867-0935