Provider Demographics
NPI:1538580642
Name:BC HEALTH CENTER
Entity type:Organization
Organization Name:BC HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:760-244-7373
Mailing Address - Street 1:15923 BEAR VALLEY RD STE A210
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-1787
Mailing Address - Country:US
Mailing Address - Phone:760-244-7373
Mailing Address - Fax:760-244-7676
Practice Address - Street 1:15923 BEAR VALLEY RD STE A210
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-1787
Practice Address - Country:US
Practice Address - Phone:760-244-7373
Practice Address - Fax:760-244-7676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-17
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32793111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA32793OtherCALIFORNIA BOARD OF CHIROPRACTIC