MEDICARE: BOSTEN CHIROPRACTIC A CORPORATION

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	DC17611	CA
2	111N00000X	Chiropractor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	WDC17611A	OTHER		P PIN

General Provider Information

NPI Number	:	1659389179
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOSTEN CHIROPRACTIC A CORPORATION

Provider Business Mailing Address
First Line	:	3283 MOTOR AVENUE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034
Country	:	US
Telephone Number	:	310-559-6900
Fax Number	:	310-836-8664

Provider Business Practice Location Address
First Line	:	3283 MOTOR AVENUE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034
Country	:	US
Telephone Number	:	310-559-6900
Fax Number	:	310-836-8664

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. MICHELLE DORENE CLEVELAND-BOSTEN
Credential	:	D.C.
Telephone Number	:	310-559-6900

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	01/05/2015

Similar Medicare Providers

1700992047 — DR. BONNIE A JACOBS PHD
Practice Location Address:

3415 S. SEPULVEDA BLVD. , SUITE 1100
LOS ANGELES, CA
90034

Practice Phone: 323-655-4056
Practice Fax: 310-390-8331

1962356733 — ALEJANDRA REYES
Practice Location Address:

3010 S SEPULVEDA BLVD
LOS ANGELES, CA
90034-4202

Practice Phone: 310-478-9821
Practice Fax:

1477407294 — MS. MOLLIE JOHANNA WINE DOULA
Practice Location Address:

2218 HILLSBORO AVE
LOS ANGELES, CA
90034-1123

Practice Phone: 310-365-1740
Practice Fax:

1013366210 — DANIEL JEONG PHARM.D.
Practice Location Address:

6041 CADILLAC AVE STE 516
LOS ANGELES, CA
90034-1702

Practice Phone: 310-384-2764
Practice Fax:

1295547065 — SARAH MIRIAM BEDERMAN
Practice Location Address:

8831 VENICE BLVD
LOS ANGELES, CA
90034-3223

Practice Phone: 310-204-5200
Practice Fax:

1881549582 — VALERIA ALEMAN
Practice Location Address:

3280 MOTOR AVE STE 110
LOS ANGELES, CA
90034-3766

Practice Phone: 424-672-6700
Practice Fax:

1326993023 — MALIAH WILLIAMS
Practice Location Address:

3280 MOTOR AVE STE 110
LOS ANGELES, CA
90034-3766

Practice Phone: 424-657-6700
Practice Fax: 424-657-6700

Directions to “BOSTEN CHIROPRACTIC A CORPORATION ” 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.