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NPI Code Detail

MEDICARE: TZERLIN PRONG CHIROPRACTIC PROFESSIONAL CORP.

MEDICARE: TZERLIN PRONG CHIROPRACTIC PROFESSIONAL CORP.
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
1111N00000XChiropractorDC23459CA

General Provider Information

NPI Number : 1629068481
Entity Type Code : Organization
Provider Name (Legal Business Name) : TZERLIN PRONG CHIROPRACTIC PROFESSIONAL CORP.
Provider Business Mailing Address
First Line : 1722 DESIRE AVE. SUITE #205
Second Line :
City : ROWLAND HEIGHTS
State : CA
Zip : 91748-2970
Country : US
Telephone Number : 626-581-3578
Fax Number : 626-581-3450
Provider Business Practice Location Address
First Line : 1722 DESIRE AVE. SUITE #205
Second Line :
City : ROWLAND HEIGHTS
State : CA
Zip : 91748-2970
Country : US
Telephone Number : 626-581-3578
Fax Number : 626-581-3450
Authorized Official
Title or Position : PRESIDENT
Name : TZERLIN PRONG
Credential : DC
Telephone Number : 626-581-3578
Provider Enumeration Date : 10/24/2005
Last Update Date : 08/22/2020

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Directions to “TZERLIN PRONG CHIROPRACTIC PROFESSIONAL CORP. ” Practice Location

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