CANTONG ACTIVE LIFE CHIROPRACTIC INC (NPI# 1396983292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396983292 |
| Entity Type | Organization |
| Organization Name | CANTONG ACTIVE LIFE CHIROPRACTIC INC |
| Practice Address |
3540 Wilshire Blvd Suite 620 Los Angeles CA 90010-2350 |
| Mailing Address |
3540 Wilshire Blvd Suite 620 Los Angeles CA 90010-2307 |
| Practice Telephone | 2134874621 |
| Practice Fax Number | 2134877621 |
| Mailing Telephone | 2134874621 |
| Mailing Fax Number | 2134877621 |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |
| Authorized Official Name | DR. DAVID ENRIQUE CANTONG (CEO) |
| Authorized Official Telephone | 2137004819 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
DC21916 | CA | Ambulatory Health Care Facilities |
| Street Address |
3540 WILSHIRE BLVD SUITE 620 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90010-2350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410397 | Jung Yun Kim | Psychologist | 3540 Wilshire Blvd, Los Angeles, CA 90010-2307 | 2005-07-11 |
| 1093172603 | Victor Sadeghi Malvajerdi Chiropractic | Chiropractor | 3540 Wilshire Blvd, Los Angeles, CA 90010 | 2016-01-27 |
| 1821498981 | Hwang Dental Corporation | Dentist | 3540 Wilshire Blvd, Ste. 210, Los Angeles, CA 90010-2307 | 2014-08-26 |
| 1780987388 | Euphil Juliette T Aseniero | Occupational Therapist | 3540 Wilshire Blvd, 200, Los Angeles, CA 90010-2307 | 2010-12-21 |
| 1710288493 | Five Point Physical Therapy Inc | Occupational Therapist | 3540 Wilshire Blvd, #200, Los Angeles, CA 90010-2307 | 2010-11-11 |
| 1760783666 | Jarred Garcia | Physical Therapist | 3540 Wilshire Blvd, 200, Los Angeles, CA 90010-2307 | 2010-11-08 |
| 1134429004 | Henry Go Penaranda | Occupational Therapist | 3540 Wilshire Blvd, 314, Los Angeles, CA 90010-2307 | 2010-10-26 |
| 1902110067 | Grace G Montojo | Physical Therapist | 3540 Wilshire Blvd, 314, Los Angeles, CA 90010-2307 | 2010-07-31 |
| 1871811448 | Hayasa Medical Group Inc | General Practice | 3540 Wilshire Blvd, Suite 714, Los Angeles, CA 90010-2307 | 2010-05-06 |
| 1669795431 | Wilshire Medical Clinic | Neuromusculoskeletal Medicine, Sports Medicine | 3540 Wilshire Blvd, Suite: 1014, Los Angeles, CA 90010-2307 | 2010-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205454204 | Sage Minds | Psychiatry & Neurology | 3860 Wilshire Blvd, P04-1188, Los Angeles, CA 90010 | 2020-07-07 |
| 1629602750 | Shalva, A Psychology Corporation | Counselor | 4221 Wilshire Boulevlard, Suite 170b, Los Angeles, CA 90010 | 2020-02-27 |
| 1609346287 | Leticia Arteaga | Marriage & Family Therapist | 3580 Wilshire Blvd Suite 800, Los Angeles, CA 90010 | 2018-11-27 |
| 1891265559 | Maria Nguyen | Case Manager/Care Coordinator | 3424 Wilshire Blvd Ste 1000, Los Angeles, CA 90010 | 2018-11-26 |
| 1568955474 | Cherie Emi Okada | Student in an Organized Health Care Education/Training Program | 358 Wilshire Blvd, Suite 2000, Los Angeles, CA 90010 | 2018-06-14 |
| 1780101832 | Bj Park, Chiropractic | Acupuncturist | 3020 Wilshire Blvd., Suite 220, Los Angeles, CA 90010 | 2017-08-29 |
| 1952828188 | Karin Alm | Case Manager/Care Coordinator | 3580 Wilshire Blvd., Suite 2000, Los Angeles, CA 90010 | 2017-08-28 |
| 1295257111 | Freddy Pablo | Rehabilitation Practitioner | 3580 Wilshire Blvd., Ste. 800, Los Angeles, CA 90010 | 2017-07-12 |
| 1770032690 | Astghik Harutyunyan | Special Hospital | 3699 Wilshire Blve, Los Angeles, CA 90010 | 2016-10-04 |
| 1629446281 | Praveena Chinniah | Behavioral Analyst | 4221 Wilshire Blvd., Suite 300a, Los Angeles, CA 90010 | 2015-09-11 |
| Find all providers in zip 90010 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1356814123 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 422 S San Vicente Blvd, Los Angeles, CA 90048-4108 | 2019-01-04 |
| 1861969040 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 420 E 3rd St Ste 600, Los Angeles, CA 90013-1645 | 2018-10-25 |
| 1740724574 | Royalty Group Services Inc | Clinic/Center | 555 West Fifth Street 31st Floor, Los Angeles, CA 90013 | 2016-12-13 |
| 1881056661 | A Plus Care Giver Services | Clinic/Center | 2420 W. Mlk Jr. Blvd, Los Angeles, CA 90008 | 2016-03-22 |
| 1194126862 | Dkmd, Inc | Clinic/Center | 1711 W Temple St Ste 3614, Los Angeles, CA 90026-5421 | 2014-09-11 |
| 1194138347 | Healthright 360 | Clinic/Center | 521 South Grand View Street, Los Angeles, CA 90057 | 2014-06-05 |
| 1447591003 | Beauty Through Balance Nd Inc | Clinic/Center | 2709 Greenfield Ave, Los Angeles, CA 90064-4031 | 2013-03-07 |
| 1124326988 | Eric B. Fromer Chiropractic, Inc. | Clinic/Center | 6430 Sunset Blvd., 707, Los Angeles, CA 90028 | 2011-03-03 |
| 1619282761 | Venice Healthcenter | Clinic/Center | 2270 W. Venice Blvd, Los Angeles, CA 90006 | 2010-08-13 |
| 1780858605 | Soon M. Cha Md, Inc | Clinic/Center | 1058 S Vermont Ave Ste 204, Los Angeles, CA 90006-2731 | 2008-04-22 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90010 |
Please comment or provide details below to improve the information on CANTONG ACTIVE LIFE CHIROPRACTIC INC.
| 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.