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NPI Code Detail

MEDICARE: RICHTER ZIMMER CHIROPRACTIC, INC.

MEDICARE: RICHTER ZIMMER 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
1111N00000XChiropractorDC-31192CA
2111N00000XChiropractorDC-31187CA

General Provider Information

NPI Number : 1134360399
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICHTER ZIMMER CHIROPRACTIC, INC.
Provider Business Mailing Address
First Line : 510 N PROSPECT AVE STE 308
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-3032
Country : US
Telephone Number : 310-351-7452
Fax Number :
Provider Business Practice Location Address
First Line : 510 N PROSPECT AVE STE 308
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-3032
Country : US
Telephone Number : 310-351-7452
Fax Number :
Authorized Official
Title or Position : CHIROPRACTOR/ VICE PRESIDENT
Name : CAITLIN RICHTER
Credential : D.C.
Telephone Number : 310-351-7452
Provider Enumeration Date : 03/18/2009
Last Update Date : 07/28/2010

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Directions to “RICHTER ZIMMER CHIROPRACTIC, INC. ” Practice Location

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