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NPI 1922057033

NPI 1922057033 : LOUJAN J. MATIN DC : TORRANCE, CA

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General NPI Number Information
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    NPI Number           |    1922057033
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    Entity Type          |    Individual 
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    Provider Name        |    LOUJAN J. MATIN DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/08/2006
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    Last Update Date     |    11/16/2016
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Provider Practice Location Address
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    Address Line         |    3661 TORRANCE BLVD STE 201 
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    City                 |    TORRANCE
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    State                |    CA
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    Zip                  |    90503-4884
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    Country              |    US
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    Telephone            |    310-540-9796
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    Fax                  |    310-316-6195
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Provider Business Mailing Address
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    Address Line         |    3661 TORRANCE BLVD STE 201 
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    City                 |    TORRANCE
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    State                |    CA
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    Zip                  |    90503-4884
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    Country              |    US
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    Telephone            |    310-540-9796
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    Fax                  |    310-316-6195
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    33499
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    License Number State |    CA
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