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NPI 1073829362 - Chiropractor - 111N00000X

NPI Details
NPI 1073829362
Enumeration Date 08/24/2010
Last Updated 08/24/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ERIC ERIC
Position DIRECTOR/CHIROPRACTOR
Phone (310) 463-4111
Fax
Practice Location
1358 4TH ST
SANTA MONICA CA, 90401-1371, US
Phone (310) 463-4111
Fax
Business Location
1158 26TH ST
#149
SANTA MONICA CA, 90403-4698, US
Phone
Fax
Toxanomy
Taxonomy Code 111N00000X
License State California
License Number DC19698
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According to our database, Back To Balance NPI is 1073829362, taxonomy code is 111N00000X and license number is DC19698, license state is located at California. Back To Balance physically located at 1358 4th St, Santa Monica CA, 90401-1371. NPI Number 1033115704 has the healthcare provider type.

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1073829362 NPI number is provided on an as is basis without warranty of any kind. 1073829362 is maintained by the National Plan & Provider Enumeration System. The contents of Back To Balance are for informational purposes only.