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NPI Code Detail

MEDICARE: DR. BRYAN LOWELL ALES D.C.

MEDICARE: DR. BRYAN LOWELL ALES D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor30278CA

General Provider Information

NPI Number : 1356471726
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRYAN LOWELL ALES D.C.
Provider Business Mailing Address
First Line : 6423 E PACIFIC COAST HWY
Second Line :
City : LONG BEACH
State : CA
Zip : 90803-4201
Country : US
Telephone Number : 562-795-6680
Fax Number : 562-799-9575
Provider Business Practice Location Address
First Line : 6423 E PACIFIC COAST HWY
Second Line :
City : LONG BEACH
State : CA
Zip : 90803-4201
Country : US
Telephone Number : 562-795-6680
Fax Number : 562-799-9575
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 07/08/2007

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