MEDICARE: DR. HARI BHAJAN SINGH KHALSA 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
1	111N00000X	Chiropractor	DC14664	CA

General Provider Information

NPI Number	:	1720274905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARI BHAJAN SINGH KHALSA D.C.

Provider Business Mailing Address
First Line	:	6404 WILSHIRE BLVD
Second Line	:	STE 700
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5509
Country	:	US
Telephone Number	:	310-274-6164
Fax Number	:	310-274-8085

Provider Business Practice Location Address
First Line	:	6404 WILSHIRE BLVD
Second Line	:	STE 700
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5509
Country	:	US
Telephone Number	:	310-274-6164
Fax Number	:	310-274-8085

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2007
Last Update Date	:	01/19/2018

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