Organization · Type 2 NPI

La Sports & Spine, Inc.

Chiropractor · Los Angeles, CA

NPI number 1063799286 Active

Practice location

10474 Santa Monica Blvd, Suite 304
Los Angeles, CA 90025-6929

Fax (310) 470-3286

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC18136 (CA)
Rehabilitation Chiropractor 111NR0400XDC18136 (CA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1063799286

La Sports & Spine, Inc.'s National Provider Identifier is 1063799286, issued on Nov 16, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 16, 2011.