Individual provider · Type 1 NPI
Robert Chirasak Tanthanasiridej, DC
Chiropractor · Los Angeles, CA
NPI number
1881707578
Active
Practice location
4125 Clayton Ave
Los Angeles, CA 90027-1505
Fax (323) 665-2784
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC30064 (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 1881707578
Robert Chirasak Tanthanasiridej, DC's National Provider Identifier is 1881707578, issued on Aug 16, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.