Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174620215 Individual Practitioner Female Practitioner

Dr. Laci D Hendricks , DC

Chiropractor • Redondo Beach, CA

Professional Overview & Biography Verified Profile Summary

Dr. Laci Hendricks, DC is a registered healthcare professional specializing in Chiropractor in Redondo Beach, CA. Practice services are available at 1300 S PACIFIC COAST HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1300 S Pacific Coast Hwy

Redondo Beach, CA 902775003

Telephone 3103164838
Associated Practice Facility / Clinic
🏢 Goodlife Chiropractic Facility NPI 1639578164

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Redondo Beach, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.6 Yrs
State Avg: 27.5 Yrs
Regional Practice Density
58 Specialists

Practicing in Redondo Beach, CA (12100 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License CA 31044

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.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License TX 6551

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
001989501 (TX)
Commercial Insurance / Payer ID United American Ins Co
C 605653 (TX)
Commercial Insurance / Payer ID Apwu
001119290 (TX)
Commercial Insurance / Payer ID Bcbs Of Texas
0000605653 (TX)
Commercial Insurance / Payer ID Aetna
0005101694 (TX)
Commercial Insurance / Payer ID Palmetto Gba
P00207317 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1336391101

Licensed Acupuncturist

NPI 1497088074

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 03, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 03, 2012

Registered at 1300 S PACIFIC COAST HWY, REDONDO BEACH, CA 902775003 (Tel: 3103164838)

📍
Updated Business Mailing Address May 03, 2012

Registered at 2306 OAKWOOD AVE, #210, VENICE, CA 902914955 (Tel: 3104082295)

👤
Provider Name / Credentials Updated May 03, 2012

Recorded as LACI HENDRICKS, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2012

Chiropractor (License #31044 in CA)

🟢
Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174620215
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: May 03, 2012
Sole Proprietor: No

Mailing Address

2306 Oakwood Ave, #210

Venice, CA 902914955

Phone: 3104082295

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.