Provider Demographics
NPI:1538340021
Name:RIZZI CHIROPRACTIC CENTER INC.
Entity type:Organization
Organization Name:RIZZI CHIROPRACTIC CENTER INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LEO
Authorized Official - Middle Name:
Authorized Official - Last Name:RIZZI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:909-593-6553
Mailing Address - Street 1:355 E FOOTHILL BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-1471
Mailing Address - Country:US
Mailing Address - Phone:909-593-6553
Mailing Address - Fax:909-593-1084
Practice Address - Street 1:355 E FOOTHILL BLVD STE B
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-1471
Practice Address - Country:US
Practice Address - Phone:909-593-6553
Practice Address - Fax:909-593-1084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-26
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16830261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC16830Medicare PIN