Healthcare Provider Details

I. General information

NPI: 1851248462
Provider Name (Legal Business Name): VASIL VASSILEV CHIROPRACTIC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6330 SAN VICENTE BLVD STE 245
LOS ANGELES CA
90048-5425
US

IV. Provider business mailing address

6330 SAN VICENTE BLVD STE 245
LOS ANGELES CA
90048-5425
US

V. Phone/Fax

Practice location:
  • Phone: 424-600-5010
  • Fax: 213-814-5728
Mailing address:
  • Phone: 424-600-5010
  • Fax: 213-814-5728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: VASIL VASSILEV
Title or Position: OWNER
Credential: DC
Phone: 424-600-5010