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NPI Code Detail

MEDICARE: KENNETH W LUTHER A CHIROPRACTI

MEDICARE: KENNETH W LUTHER A CHIROPRACTI
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
1111N00000XChiropractorDC27651CA
2111N00000XChiropractorDC27775CA

General Provider Information

NPI Number : 1396738225
Entity Type Code : Organization
Provider Name (Legal Business Name) : KENNETH W LUTHER A CHIROPRACTI
Provider Business Mailing Address
First Line : 3030 SAWTELLE BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-1408
Country : US
Telephone Number : 310-391-2617
Fax Number : 310-390-0868
Provider Business Practice Location Address
First Line : 3030 SAWTELLE BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-1408
Country : US
Telephone Number : 310-391-2617
Fax Number : 310-390-0868
Authorized Official
Title or Position : VICE PRESIDENT
Name : DR. WAYNE EICHI HIGASHI
Credential : D.C., A.T.C.
Telephone Number : 310-391-2617
Provider Enumeration Date : 08/25/2005
Last Update Date : 03/24/2015

Similar Medicare Providers

1528073848 — WAYNE EICHI HIGASHI D.C.
Practice Location Address:
3030 SAWTELLE BLVD
LOS ANGELES, CA
90066-1408
Practice Phone: 310-390-9018
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1619981057 — STEPHANIE C HIGASHI D.C.
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1285853879 — KENNETH W. LUTHER CHIROPRACTIC CORP.
Practice Location Address:
3030 SAWTELLE BLVD
LOS ANGELES, CA
90066-1408
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1851624274 — DR. E DOUGLAS KIHN O.M.D., L.AC.
Practice Location Address:
3030 SAWTELLE BLVD
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Practice Fax: 310-390-0868
1720301559 — MAR VISTA HEALTH CENTER, INC
Practice Location Address:
3030 SAWTELLE BLVD
LOS ANGELES, CA
90066-1408
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Practice Fax:
1497076277 — MAR VISTA HEALTH CENTER, INC
Practice Location Address:
3030 SAWTELLE BLVD
LOS ANGELES, CA
90066-1408
Practice Phone: 310-391-2617
Practice Fax: 310-390-0868

Directions to “KENNETH W LUTHER A CHIROPRACTI ” Practice Location

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