Organization · Type 2 NPI

Idealw84u, LLC

Chiropractor · Los Angeles, CA

NPI number 1396187050 Active

Practice location

8632 S Sepulveda Blvd, Ste 101
Los Angeles, CA 90045-4015

Fax (714) 685-0337

Mailing address

7733 Henefer Ave, Ste A
Los Angeles, CA 90045-1140

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC15402 (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 1396187050

Idealw84u, LLC's National Provider Identifier is 1396187050, issued on Jul 23, 2013. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 23, 2013.