MEDICARE: DR. MANITA VERMA DC

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	32408	CA

General Provider Information

NPI Number	:	1427488162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MANITA VERMA DC

Provider Business Mailing Address
First Line	:	1 LEAGUE 61860
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92606-2138
Country	:	US
Telephone Number	:	323-589-8804
Fax Number	:

Provider Business Practice Location Address
First Line	:	6522 PACIFIC BLVD
Second Line	:
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-4106
Country	:	US
Telephone Number	:	323-589-8804
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2013
Last Update Date	:	12/05/2014

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Directions to “ DR. MANITA VERMA DC” Practice Location

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