Provider Demographics
NPI:1174370472
Name:KITAYA LAM CHIROPRACTIC PC
Entity type:Organization
Organization Name:KITAYA LAM CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:MITZIE
Authorized Official - Middle Name:MIKE
Authorized Official - Last Name:LAM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-470-6911
Mailing Address - Street 1:7695 ENCINAS CIRCLE
Mailing Address - Street 2:
Mailing Address - City:WESTMINISTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683
Mailing Address - Country:US
Mailing Address - Phone:714-470-6911
Mailing Address - Fax:714-947-1644
Practice Address - Street 1:KITAYA LAM CHIROPRACTIC PC/DBA: CHIROWORKS
Practice Address - Street 2:6771 WESTMINSTER BLVD SUITE I
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683
Practice Address - Country:US
Practice Address - Phone:714-373-1511
Practice Address - Fax:714-947-1644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty