1437483005 NPI number — LESTER LIN CHIROPRACTIC CORP

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437483005 NPI number — LESTER LIN CHIROPRACTIC CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LESTER LIN CHIROPRACTIC CORP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437483005
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/29/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
23548 CALABASAS RD
Provider Second Line Business Mailing Address:
SUITE 204
Provider Business Mailing Address City Name:
CALABASAS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91302-1314
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-884-4000
Provider Business Mailing Address Fax Number:
818-884-4555

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23548 CALABASAS RD
Provider Second Line Business Practice Location Address:
SUITE 204
Provider Business Practice Location Address City Name:
CALABASAS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91302-1314
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-884-4000
Provider Business Practice Location Address Fax Number:
818-884-4555
Provider Enumeration Date:
09/29/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LIN
Authorized Official First Name:
LESTER
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER / D.C.
Authorized Official Telephone Number:
818-884-4000

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  DC26431 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: DC26431 . This is a "LICENSE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".