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EDDY CRYPTO CHIROPRACTIC CORPORATION
NPI 1063112555
Chiropractor in Covina, CA

Active since March 06, 2023
550 S EREMLAND DR, COVINA, CA 91723(626) 332-7829(626) 966-0235 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 13, 2023, Mar 6, 2023 (2 updates tracked since 2023).

About Eddy Crypto Chiropractic Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDDY CRYPTO CHIROPRACTIC CORPORATION (NPI 1063112555) is a healthcare organization registered as a chiropractor in Covina, California and active in the NPI registry since March 2023. The organization lists Eddy Mydouangchanh, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063112555
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameEDDY CRYPTO CHIROPRACTIC CORPORATION
Location Address550 S EREMLAND DRCovina, CA 91723-3100
Mailing Address550 S Eremland DrCovina, CA 91723-3100 · (626) 332-7829 · Fax (626) 332-7829
Phone(626) 332-7829
Fax(626) 966-0235
Organization SubpartNo
Authorized OfficialEddy MydouangchanhCeo · (626) 332-7829
Enumeration DateMarch 6, 2023
Last NPPES UpdateMarch 13, 20232 updates tracked since enumeration
NPPES CertifiedMarch 13, 2023
✔ NPI 1063112555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
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.
550 S EREMLAND DR, Covina, CA 91723
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eddy Crypto Chiropractic Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Eddy Crypto Chiropractic Corporation, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Yueming He
Chiropractic
NPI 1366233751
550 S EREMLAND DR
Covina, CA 91723
(702) 882-7711
✔ Accepts MedicareSame address
Eddy Mydouangchanh
Chiropractic
NPI 1497177844
550 S EREMLAND DR
Covina, CA 91723
(626) 332-7829
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eddy Crypto Chiropractic Corporation's NPI number?

The NPI number for Eddy Crypto Chiropractic Corporation is 1063112555. It was assigned to this organization in the NPPES registry on March 6, 2023.

Where is Eddy Crypto Chiropractic Corporation located?

Eddy Crypto Chiropractic Corporation is located at 550 S Eremland Dr, Covina, CA 91723. The listed phone number is (626) 332-7829.

What is Eddy Crypto Chiropractic Corporation's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Eddy Crypto Chiropractic Corporation enrolled in Medicare?

Yes. Eddy Crypto Chiropractic Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eddy Crypto Chiropractic Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Eddy Crypto Chiropractic Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eddy Crypto Chiropractic Corporation was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.