MEDICARE: MINA ISKANDER CHIROPRACTIC CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1063081792
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINA ISKANDER CHIROPRACTIC CORPORATION

Provider Business Mailing Address
First Line	:	4323 SEPULVEDA BLVD
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90230-4715
Country	:	US
Telephone Number	:	562-201-5121
Fax Number	:

Provider Business Practice Location Address
First Line	:	4323 SEPULVEDA BLVD
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90230-4715
Country	:	US
Telephone Number	:	562-201-5121
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MINA ISKANDER
Credential	:	DC
Telephone Number	:	562-201-5121

Provider Enumeration Date	:	06/17/2021
Last Update Date	:	06/17/2021

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Directions to “MINA ISKANDER CHIROPRACTIC CORPORATION ” Practice Location

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