DR. PARK BRIAN MICKELSON DC
NPI 1164484028
Chiropractor in Lancaster, CA

Q: What is Park Mickelson's NPI number?

The NPI number for Park Mickelson is 1164484028. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Q: What is Park Mickelson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Park Mickelson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 05, 2006

1314 W AVE J, LANCASTER, CA 93534(661) 945-4441(661) 945-4442 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Park Brian Mickelson Dc NPPES

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

DR. PARK BRIAN MICKELSON DC (NPI 1164484028) is an individual chiropractor in Lancaster, California, licensed in California (DC24507) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1164484028

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. PARK BRIAN MICKELSONCredential: DC

Location Address1314 W AVE JLancaster, CA 93534-2936

Mailing Address1314 W Ave JLancaster, CA 93534-2936 · (661) 945-4441 · Fax (661) 945-4442

Phone(661) 945-4441

Fax(661) 945-4442

Sole ProprietorNo

Enumeration DateApril 5, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1164484028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · DC24507

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.

1314 W AVE J, Lancaster, CA 93534

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Other Identifiers 1

Medicare UPINU81779

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

A V ALLIED CHIROPRACTIC

Chiropractor

1314 W AVE J
LANCASTER, CA 93534

Los Angeles County (661) 945-4441

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 Park Mickelson's NPI number?

The NPI number for Park Mickelson is 1164484028. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Park Mickelson located?

Park Mickelson practices at 1314 W Ave J, Lancaster, CA 93534. The listed phone number is (661) 945-4441.

What is Park Mickelson's specialty?

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

When was this NPI record last updated?

The NPPES record for Park Mickelson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.