Healthcare Provider Details

I. General information

NPI: 1407765704
Provider Name (Legal Business Name): ONE SPINAL CARE LEE CHIROPRACTIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3475 TORRANCE BLVD STE D
TORRANCE CA
90503-5800
US

IV. Provider business mailing address

3475 TORRANCE BLVD STE D
TORRANCE CA
90503-5800
US

V. Phone/Fax

Practice location:
  • Phone: 424-247-7001
  • Fax:
Mailing address:
  • Phone: 424-247-7001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CHANGWON LEE
Title or Position: CEO
Credential: D.C.
Phone: 309-281-0805