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General NPI Number Information
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NPI Number | 1699029843
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Entity Type | Organization
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Legal Business Name | JOGA CHIROPRACTIC CENTER, INC
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Dates
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Enumeration Date | 11/08/2012
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 13101 W WASHINGTON BLVD STE 114
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City | LOS ANGELES
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State | CA
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Zip | 90066-5176
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Country | US
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Telephone | 310-433-3657
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Fax | 310-828-3532
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Provider Business Mailing Address
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Address Line | 510 S GERTRUDA AVE
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City | REDONDO BEACH
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State | CA
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Zip | 90277-4243
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Country | US
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Telephone | 104-333-6573
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Fax | 310-828-3532
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Authorized Official
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Title or Position | OWNER
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Name | DR. VIKTORIJA A JOGA
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Credential | D.C.
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Telephone | 310-433-3657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC20733
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License Number State | CA
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