Organization · Type 2 NPI

C.w. Klishevich

Chiropractor · Marina Del Rey, CA

NPI number 1245458272 Active

Practice location

4560 Admiralty Way, Ste 302
Marina Del Rey, CA 90292-5423

Mailing address

4650 Admiralty Way, Ste 302
Marina Del Rey, CA 90292

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC21026 (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 1245458272

C.w. Klishevich's National Provider Identifier is 1245458272, issued on Apr 23, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Marina Del Rey, CA. The record was last updated on Aug 22, 2020.