Ray Daniel Pendergraft in Redondo Beach - Chiropractor
Ray Daniel Pendergraft - NPI 1760480065
Ray Daniel Pendergraft is a Chiropractor in Redondo Beach, California. Ray Daniel Pendergraft practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Ray Daniel Pendergraft is 1760480065. The last update date is 2015-03-23.
Ray Daniel Pendergraft's current location address is 2512 Artesia Blvd Ste 230, Redondo Beach, California. You can contact this provider via phone number 3107939926 and fax number 3107988710. The mailing address for Ray Daniel Pendergraft is 2512 Artesia Blvd Ste 230, Redondo Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ray Daniel Pendergraft |
|---|---|
| Address | 2512 Artesia Blvd Ste 230, Redondo Beach, California |
| Phone Number | 3107939926 |
| Fax Number | 3107988710 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1760480065 |
|---|---|
| Provider Enumeration Date | 2005-07-11 |
| Last Updated Date | 2015-03-23 |
Provider Mailing Address Detail
| Address | 2512 Artesia Blvd Ste 230 |
|---|---|
| City | Redondo Beach |
| State | California (CA) |
| Post Code | 902783277 |
| Phone Number | 3107939926 |
| Fax Number | 3107988710 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC12502 |
|
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 |
|---|---|---|---|
| RP51327 | AR | AMERICAN SPECIALTIES HEAL |
Post Comment/ Review Below
What is the unique identifier code issued to Ray Daniel Pendergraft by the Centers for Medicare & Medicaid Services (CMS)?
The Ray Daniel Pendergraft has been assigned the NPI (National Provider Identifier) 1760480065. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Ray Daniel Pendergraft's facilities are situated?
The facilities of Ray Daniel Pendergraft are physically located at the following address: 2512 Artesia Blvd Ste 230, Redondo Beach, CA, 902783277.
What is the area of specialization for Ray Daniel Pendergraft, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ray Daniel Pendergraft is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did the Ray Daniel Pendergraft receive its 1760480065 assignment from the Centers for Medicare & Medicaid Services?
The Ray Daniel Pendergraft was assigned its 1760480065 by the Centers for Medicare & Medicaid Services on 2005-07-11.
When was the Ray Daniel Pendergraft's information last updated?
The Ray Daniel Pendergraft's information was last updated on 2015-03-23.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY