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General NPI Number Information
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NPI Number | 1356265888
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Entity Type | Organization
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Legal Business Name | DR. LA FOUNTAIN VALLEY CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 18430 BROOKHURST ST STE 103
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-6726
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Country | US
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Telephone | 408-205-9983
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Fax |
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Provider Business Mailing Address
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Address Line | 9077 CARSON RIVER CIR
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-6437
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Country | US
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Telephone | 408-205-9983
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. ROBERT THANH LA
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Credential | DC
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Telephone | 408-205-9983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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