WILLOW MEDICAL GROUP – NPI #1013943000
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

WILLOW MEDICAL GROUP is a chiropractor located in LONG BEACH, CA. NPPES has assigned the NPI number 1013943000 to WILLOW MEDICAL GROUP on June 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 111N00000X from the Health Care Provider Taxonomy code set, which is classified as Chiropractor.

The NPI profile was previously updated about 18 years ago on Jan 04, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WILLOW MEDICAL GROUP below.

NPI Profile for
WILLOW MEDICAL GROUP

NPI Number
1013943000
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WILLOW MEDICAL GROUP
Primary location
3311 E WILLOW ST
LONG BEACH, CA 90806
Phone: (562) 424-4976 Fax: (562) 424-5960
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LAWRENCE DOMARACKI
CO-OWNER DC
Phone: (562) 424-4976
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
111N00000X
- Chiropractor (Primary)
CA DC 20570
207XS0117X
- Orthopaedic Surgery / Orthopaedic Surgery of the Spine
CA A38436
207LP2900X
- Anesthesiology / Pain Medicine
CA G59739

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.