Individual provider · Type 1 NPI
John Waylan Blalock, DC
Chiropractor · El Segundo, CA
NPI number
1679963185
Active
Practice location
523 Main St
El Segundo, CA 90245-3006
Fax (310) 322-6872
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 33163 (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 1679963185
John Waylan Blalock, DC's National Provider Identifier is 1679963185, issued on Feb 4, 2015. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in El Segundo, CA. The record was last updated on Feb 4, 2015.