Individual provider · Type 1 NPI

Michael Gavin Tebbe, DC

Chiropractor · Los Angeles, CA

NPI number 1780754325 Active

Practice location

10801 National Blvd, Ste 340
Los Angeles, CA 90064-4142

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC30255 (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 1780754325

Michael Gavin Tebbe, DC's National Provider Identifier is 1780754325, issued on Nov 9, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 29, 2016.