BRODERICK CHIROPRACTIC CORPORATION (NPI# 1326557828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326557828 |
| Entity Type | Organization |
| Organization Name | BRODERICK CHIROPRACTIC CORPORATION |
| Other Organization Name | LIFE CHOICE CHIROPRACTIC |
| Practice Address |
3816 Woodruff Ave Ste 202 Long Beach CA 90808-2145 |
| Practice Telephone | (562) 420-5433 |
| Mailing Telephone | 5624205433 |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2017-09-27 |
| Authorized Official Name | MRS. LINDSAY MARGRET WEBER BRODERICK (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5624205433 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | DC30736 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI | 1356539571 | 01 |
| Other Name | Type Code |
|---|---|
| Life Choice Chiropractic | Doing Business As Name - Organization |
| Street Address |
3816 WOODRUFF AVE STE 202 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90808-2145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629558713 | Long Beach-lakewood Orthopedic Institute | Orthopaedic Surgery | 3828 Schaufele Ave Ste 320, Long Beach, CA 90808 | 2018-08-17 |
| 1376072710 | Premiere Cottages Inc. | Assisted Living Facility | 4815 Premiere Ave, Long Beach, CA 90808 | 2017-06-08 |
| 1760911184 | Collaborative Partners for Success, LLC | Speech-Language Pathologist | 3472 Tulane Avenue, Long Beach, CA 90808 | 2017-06-08 |
| 1942658604 | Susan S Orr | Physical Therapist | 3833 Worsham Ave #301, Long Beach, CA 90808 | 2016-06-02 |
| 1447611298 | Rac Brittany House | Alzheimer Center (Dementia Center) | 5641 Centralia Avenue, Long Beach, CA 90808 | 2016-03-08 |
| 1003234261 | Ray Ira Apter | Social Worker | 4333 N. Greenbrier Road, Long Beach, CA 90808 | 2014-04-03 |
| 1043590649 | Fonda Jiang | Allergy & Immunology | 3816 Woodruff Ave Ste 209, Long Beach, CA 90808 | 2011-08-26 |
| 1457640757 | Alexander Cristian Gavrila | Dentist | 4200 Lakewood Blvd, Long Beach, CA 90808 | 2011-04-07 |
| 1851629034 | Reyana Ewing | Dietitian, Registered | 4195 N Viking Way Ste D, Long Beach, CA 90808 | 2009-11-25 |
| 1548497597 | Veronika Lee Hoover | Social Worker | 4195 N. Viking Way, Suite F, Long Beach, CA 90808 | 2009-06-17 |
| Find all providers in zip 90808 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235772609 | Belmont Shore Wellness Center | Clinic/Center | 5237 E 2nd St, Long Beach, CA 90803-5326 | 2019-10-17 |
| 1699316349 | New Life Community Mental Health Center | Clinic/Center | 1040 Elm Ave Ste 208, Long Beach, CA 90813-3266 | 2019-10-03 |
| 1912372517 | Richard Kaplan | Clinic/Center | 2235 Vuelta Grande Ave, Long Beach, CA 90815-2354 | 2015-12-08 |
| 1669812392 | The Roads Foundation, Inc | Clinic/Center | 4800 E Los Coyotes Diagonal, Long Beach, CA 90815-2827 | 2013-06-26 |
| 1336443548 | Chok P Wan Md Inc | Clinic/Center | 2153 Pacific Ave, Long Beach, CA 90806-4513 | 2011-01-03 |
| 1962642892 | Van Thuan Phat | Clinic/Center | 825 E Anaheim St, Long Beach, CA 90813-3550 | 2009-03-05 |
| 1053566224 | South Medical Clinic | Clinic/Center | 1530 E. South Street, Long Beach, CA 90805 | 2008-12-01 |
| 1568629103 | West Coast Orthopedics Inc | Clinic/Center | 3325 Palo Verde, Suite 205, Long Beach, CA 90808 | 2008-05-21 |
| 1073703252 | Special Service for Groups | Clinic/Center | 2501 Atlantic Ave, Long Beach, CA 90806-2708 | 2007-07-25 |
| 1104940584 | Special Service for Groups | Clinic/Center | 1040 E Wardlow Rd, Long Beach, CA 90807-4708 | 2007-03-19 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90808 |
Please comment or provide details below to improve the information on BRODERICK CHIROPRACTIC CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.