Healthcare Provider Details

I. General information

NPI: 1902341274
Provider Name (Legal Business Name): DING CHIROPRACTIC CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2016
Last Update Date: 12/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3232 SEPULVEDA BLVD
TORRANCE CA
90505-2719
US

IV. Provider business mailing address

3232 SEPULVEDA BLVD
TORRANCE CA
90505-2719
US

V. Phone/Fax

Practice location:
  • Phone: 310-257-8800
  • Fax: 310-257-8868
Mailing address:
  • Phone: 310-257-8800
  • Fax: 310-257-8868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC23787
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC6400
License Number StateCA

VIII. Authorized Official

Name: DR. LINDA PEIZHU DING
Title or Position: PRINCIPAL
Credential: D. C., L. AC
Phone: 310-257-8800