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General NPI Number Information
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NPI Number | 1801121207
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Entity Type | Organization
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Legal Business Name | MANAGED CARE CHIROPRACTIC GROUP
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Dates
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Enumeration Date | 10/02/2009
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Last Update Date | 10/02/2009
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Provider Practice Location Address
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Address Line | 3940 MARINE AVE SUITE I
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City | LAWNDALE
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State | CA
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Zip | 90260-2333
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Country | US
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Telephone | 310-973-7390
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Fax | 310-973-2871
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Provider Business Mailing Address
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Address Line | 3940 MARINE AVE SUITE I
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City | LAWNDALE
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State | CA
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Zip | 90260-2333
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Country | US
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Telephone | 310-973-7390
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Fax | 310-973-2871
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Authorized Official
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Title or Position | PARTNER
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Name | HAMID ROWSHAN
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Credential | D.C.
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Telephone | 714-936-9700
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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 |
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License Number State |
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