is a Chiropractor in Redondo Beach, California. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for is 1609086537. The last update date is .
's current location address is 819 N Harbor Dr Ste A100, Redondo Beach, California. You can contact this provider via phone number 3109372600. The mailing address for is 819 N Harbor Dr Ste A100, Redondo Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 819 N Harbor Dr Ste A100, Redondo Beach, California |
| Phone Number | 3109372600 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1609086537 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 819 N Harbor Dr Ste A100 |
|---|---|
| City | Redondo Beach |
| State | California (CA) |
| Post Code | 902772006 |
| Phone Number | 3109372600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC24148 |
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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 inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DC24148 | CA | STATE OF CALIFORNIA BOARD OF C |
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