EDDY MYDOUANGCHANH
NPI 1497177844
Chiropractor in Covina, CA

Active since January 18, 2014Accepts Medicare Assignment
550 S EREMLAND DR, COVINA, CA 91723(626) 332-7829(626) 332-7829 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2023, Dec 10, 2018, Aug 1, 2018 (3 updates tracked since 2018).

About Eddy Mydouangchanh NPPES

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

EDDY MYDOUANGCHANH (NPI 1497177844) is an individual chiropractor in Covina, California, licensed in California (34895) and active in the NPI registry since January 2014. He maintains a secondary practice location in Milwaukie and is a graduate of Western States College Of Chiropractic (2013).

NPPES Registry Identity

NPI1497177844
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameEDDY MYDOUANGCHANH
Location Address550 S EREMLAND DRCovina, CA 91723-3100
Mailing Address550 S Eremland DrCovina, CA 91723-3100 · (626) 332-7829 · Fax (626) 332-7829
Fax(626) 332-7829
Sole ProprietorNo
Medical School CMSWestern States College Of ChiropracticGraduated 2013
Enumeration DateJanuary 18, 2014
Last NPPES UpdateApril 26, 20233 updates tracked since enumeration
NPPES CertifiedMarch 5, 2023
NPI 1497177844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses Licensed in CA · 34895 Licensed in OR · 5542
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

Secondary Practice Location 1

Location 12305 SE Washington StMilwaukie, OR 97222-7647 · Phone (503) 305-8825 · Fax (503) 303-4389

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Eddy Mydouangchanh is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719232180
PECOS Enrollment IDI20230508000801

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 5 spinal regions 98942
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's alignment. In a 5 spinal region treatment, the chiropractor applies controlled force to specific areas in your neck, mid-back, lower back, and both sides of your pelvis.
309 services54 patients
Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
186 services49 patients

Other Providers at the Same Location NPPES 4

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

Chiropractor
550 S EREMLAND DR
COVINA, CA 91723
Chiropractor
550 S EREMLAND DR
COVINA, CA 91723
Chiropractor
550 S EREMLAND DR
COVINA, CA 91723
Chiropractor
550 S EREMLAND DR
COVINA, CA 91723

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 Mydouangchanh's NPI number?

The NPI number for Eddy Mydouangchanh is 1497177844. It was assigned to this individual provider in the NPPES registry on January 18, 2014.

Where is Eddy Mydouangchanh located?

Eddy Mydouangchanh practices at 550 S Eremland Dr, Covina, CA 91723. The listed phone number is (626) 332-7829.

What is Eddy Mydouangchanh's specialty?

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

Is Eddy Mydouangchanh enrolled in Medicare?

Yes. Eddy Mydouangchanh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Eddy Mydouangchanh accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Eddy Mydouangchanh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eddy Mydouangchanh was last updated on April 26, 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.