Provider Demographics
NPI:1003605726
Name:OREND INTEGRATIVE CHIROPRACTIC INC.
Entity type:Organization
Organization Name:OREND INTEGRATIVE CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LIESEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:OREND
Authorized Official - Suffix:
Authorized Official - Credentials:DC LAC
Authorized Official - Phone:310-372-8020
Mailing Address - Street 1:2009 ARTESIA BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-3074
Mailing Address - Country:US
Mailing Address - Phone:310-372-8020
Mailing Address - Fax:
Practice Address - Street 1:2009 ARTESIA BLVD STE B
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90278-3074
Practice Address - Country:US
Practice Address - Phone:310-372-8020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty