Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eddy Mydouangchanh

Individual provider Chiropractor · NPI 1497177844

Eddy Mydouangchanh is a Chiropractic in Covina, California. Graduated from Western States College of Chiropractic in 2013, 13 years ago. Practices with Eddy Crypto Chiropractic Corporation, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
13
Trained at
Western States College of Chiropractic
Licensed in
CA, OR
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

550 S Eremland Dr
Covina, CA 91723-3100
Phone: (626) 332-7829
Fax: (626) 332-7829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2305 Se Washington St, Milwaukie, OR 97222-7647 — (503) 305-8825

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 34895 (CA)
Chiropractor Taxonomy 111N00000X · Licence 5542 (OR)

Record details

NPI number1497177844
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 18, 2014
Last updated in NPPESApril 26, 2023
Certification dateMarch 5, 2023
Mailing address550 S Eremland Dr, Covina, CA 91723-3100

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolWESTERN STATES COLLEGE OF CHIROPRACTIC
Graduated 2013 (13 years in practice)
Group practice Eddy Crypto Chiropractic Corporation — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Covina