MEDICARE: KOLT CHIROPRACTIC WELLNESS CENTER 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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1376000927
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KOLT CHIROPRACTIC WELLNESS CENTER INC

Provider Business Mailing Address
First Line	:	12217 SANTA MONICA BLVD STE 208
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-2589
Country	:	US
Telephone Number	:	310-447-3540
Fax Number	:

Provider Business Practice Location Address
First Line	:	12217 SANTA MONICA BLVD STE 208
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-2589
Country	:	US
Telephone Number	:	310-447-3540
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. MACKENZIE KOLT
Credential	:	DC
Telephone Number	:	204-362-7043

Provider Enumeration Date	:	03/01/2019
Last Update Date	:	03/01/2019

Similar Medicare Providers

1619168929 — COOPER WELLNESS CHIROPRACTIC CENTER INC
Practice Location Address:

12217 SANTA MONICA BLVD STE 208
LOS ANGELES, CA
90025-2589

Practice Phone: 310-447-3540
Practice Fax: 310-447-3542

1427514009 — DR. MACKENZIE ALEXANDER KOLT DC
Practice Location Address:

12217 SANTA MONICA BLVD STE 208
WEST LOS ANGELES, CA
90025-2589

Practice Phone: 310-447-3540
Practice Fax:

1336091511 — REX EDWARD THORPE RADT
Practice Location Address:

1138 S LA CIENEGA BLVD APT 21
LOS ANGELES, CA
90035-2589

Practice Phone: 818-636-9606
Practice Fax: 818-636-9606

1861345209 — DR. LUHE ZHU OD
Practice Location Address:

1701 PURDUE AVE APT 2
LOS ANGELES, CA
90025-4298

Practice Phone: 385-581-9722
Practice Fax:

1871446070 — JACOBS NEUROBEHAVIORAL CENTER
Practice Location Address:

12304 SANTA MONICA BLVD STE 315
LOS ANGELES, CA
90025-2551

Practice Phone: 818-571-2285
Practice Fax:

1447854146 — SOHO MEDICAL DOCTORS CALIFORNIA
Practice Location Address:

12100 WILSHIRE BLVD FL 8
LOS ANGELES, CA
90025-7120

Practice Phone: 212-369-6757
Practice Fax: 212-369-3941

Directions to “KOLT CHIROPRACTIC WELLNESS CENTER INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.