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NPI Code Detail

MEDICARE: THE CHIROPRACTOR

MEDICARE: THE CHIROPRACTOR
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
1111N00000XChiropractorDC-31362CA

General Provider Information

NPI Number : 1831607571
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE CHIROPRACTOR
Provider Business Mailing Address
First Line : 2021 LOMITA BLVD
Second Line :
City : LOMITA
State : CA
Zip : 90717-1701
Country : US
Telephone Number : 310-534-2021
Fax Number : 310-534-2024
Provider Business Practice Location Address
First Line : 2021 LOMITA BLVD
Second Line :
City : LOMITA
State : CA
Zip : 90717-1701
Country : US
Telephone Number : 310-534-2021
Fax Number : 310-534-2024
Authorized Official
Title or Position : CHIROPRACTOR
Name : DR. ANHTUAN LE
Credential : DC
Telephone Number : 310-534-2021
Provider Enumeration Date : 01/16/2018
Last Update Date : 01/16/2018

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Directions to “THE CHIROPRACTOR ” Practice Location

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