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Organization
RED HILL SPINE, K. LY CHIROPRACTIC CORPORATION
Active
Organization
RED HILL SPINE, K. LY CHIROPRACTIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHEANG LY DC (PRESIDENT)
(909) 989-0944
Entity
Organization
Contact information
Practice address
10722 ARROW RTE STE 102, RANCHO CUCAMONGA, CA 91730-4809
(909) 466-5101
Mailing address
10722 ARROW RTE STE 102, RANCHO CUCAMONGA, CA 91730-4809
(909) 466-5101
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC30062
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC30062
LICENSE NUMBER
CA
Enumeration date
06/26/2018
Last updated
05/03/2023
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