Healthcare Provider Details

I. General information

NPI: 1508635871
Provider Name (Legal Business Name): SPRINGER CHIROPRACTIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2023
Last Update Date: 12/27/2023
Certification Date: 12/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4645 HOLLYWOOD BLVD STE 1
LOS ANGELES CA
90027-5455
US

IV. Provider business mailing address

4645 HOLLYWOOD BLVD STE 1
LOS ANGELES CA
90027-5455
US

V. Phone/Fax

Practice location:
  • Phone: 323-661-1183
  • Fax: 323-661-9005
Mailing address:
  • Phone: 323-661-1183
  • Fax: 323-661-9005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: NEAL SPRINGER
Title or Position: OWNER
Credential: DC
Phone: 323-855-7889