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NPI Code Detail

MEDICARE: DR. TY HOWARD ESSEGIAN DC

MEDICARE: DR. TY HOWARD ESSEGIAN DC
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
1111N00000XChiropractorDC15703CA

General Provider Information

NPI Number : 1740357029
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TY HOWARD ESSEGIAN DC
Provider Business Mailing Address
First Line : 9730 WILSHIRE BLVD
Second Line : SUITE 217
City : BEVERLY HILLS
State : CA
Zip : 90212-2004
Country : US
Telephone Number : 310-276-1757
Fax Number : 310-276-3389
Provider Business Practice Location Address
First Line : 9730 WILSHIRE BLVD
Second Line : SUITE 217
City : BEVERLY HILLS
State : CA
Zip : 90212-2004
Country : US
Telephone Number : 310-276-1757
Fax Number : 310-276-3389
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 07/08/2007

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Directions to “ DR. TY HOWARD ESSEGIAN DC” Practice Location

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