MEDICARE: DR. DELYN MOUA DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC37394	CA

General Provider Information

NPI Number	:	1396684767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DELYN MOUA DC

Provider Business Mailing Address
First Line	:	16434 WHITTIER BLVD UNIT 1
Second Line	:
City	:	WHITTIER
State	:	CA
Zip	:	90603-2465
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4753 FIRESTONE BLVD
Second Line	:
City	:	SOUTH GATE
State	:	CA
Zip	:	90280-3448
Country	:	US
Telephone Number	:	323-310-2217
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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