is a Chiropractor in Valley Village, California. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for is 1013174002. The last update date is .
's current location address is 5301 Laurel Canyon Blvd, Valley Village, California. You can contact this provider via phone number 3108544266. The mailing address for is 5301 Laurel Canyon Blvd, Valley Village, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 5301 Laurel Canyon Blvd, Valley Village, California |
Phone Number | 3108544266 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1013174002 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 5301 Laurel Canyon Blvd |
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City | Valley Village |
State | California (CA) |
Post Code | 916072736 |
Phone Number | 3108544266 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | DC 22870 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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DC22870 | CA | BOARD OF CHIROPRACTIC EXAMINER |
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