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NPI Code Detail

MEDICARE: FROMER CHIROPRACTIC, INC.

MEDICARE: FROMER CHIROPRACTIC, INC.
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
1261QH0100XHealth Service Clinic/Center17684CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DC17684OTHERCAPTAN

General Provider Information

NPI Number : 1124326988
Entity Type Code : Organization
Provider Name (Legal Business Name) : FROMER CHIROPRACTIC, INC.
Provider Business Mailing Address
First Line : 5123 W SUNSET BLVD STE 202
Second Line :
City : LOS ANGELES
State : CA
Zip : 90027-5779
Country : US
Telephone Number : 323-962-8520
Fax Number : 323-962-6832
Provider Business Practice Location Address
First Line : 5123 W SUNSET BLVD STE 202
Second Line :
City : LOS ANGELES
State : CA
Zip : 90027-5779
Country : US
Telephone Number : 323-962-8520
Fax Number : 323-962-6832
Authorized Official
Title or Position : DOCTOR/OWNER
Name : DR. ERIC B FROMER
Credential : DC
Telephone Number : 323-962-8520
Provider Enumeration Date : 03/03/2011
Last Update Date : 09/21/2023

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Directions to “FROMER CHIROPRACTIC, INC. ” Practice Location

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