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NPI Code Detail

MEDICARE: HAYGOOD CHIROPRACTIC, INC.

MEDICARE: HAYGOOD 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
1111N00000XChiropractorDC13546CA

General Provider Information

NPI Number : 1396810313
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAYGOOD CHIROPRACTIC, INC.
Provider Business Mailing Address
First Line : 4115 SOUTH ST
Second Line :
City : LAKEWOOD
State : CA
Zip : 90712-1043
Country : US
Telephone Number : 562-408-1140
Fax Number : 562-408-1141
Provider Business Practice Location Address
First Line : 4115 SOUTH ST
Second Line :
City : LAKEWOOD
State : CA
Zip : 90712-1043
Country : US
Telephone Number : 562-408-1140
Fax Number : 562-408-1141
Authorized Official
Title or Position : OWNER
Name : DR. JEFFREY K HAYGOOD
Credential : D.C.
Telephone Number : 562-408-1140
Provider Enumeration Date : 11/22/2006
Last Update Date : 08/22/2020

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Directions to “HAYGOOD CHIROPRACTIC, INC. ” Practice Location

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