Individual provider · Type 1 NPI
Phu Q. La, DC
Chiropractor · Riverside, CA
NPI number
1508963943
Active
Practice location
12234 Haven Cir
Riverside, CA 92503-5982
Mailing address
12620 Erickson Ave, Ste. B
Downey, CA 90242-4013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC-29308 (CA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1508963943
Phu Q. La, DC's National Provider Identifier is 1508963943, issued on Sep 20, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Riverside, CA. The record was last updated on Jan 7, 2008.