Gary Alan Jacob Chiropractic Inc

NPI 1073844494 - Chiropractor - 111NR0400X

NPI Details
NPI 1073844494
Enumeration Date 01/25/2010
Last Updated 01/25/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name GARY ALAN GARY
Position PRES
Phone (310) 339-6009
Fax (310) 470-7557
Practice Location
10474 SANTA MONICA BLVD
# 304
LOS ANGELES CA, 90025-6929, US
Phone (310) 339-6009
Fax (310) 470-7557
Business Location
10474 SANTA MONICA BLVD
# 304
LOS ANGELES CA, 90025-6929, US
Phone (310) 339-6009
Fax (310) 470-7557
Toxanomy
Taxonomy Code 111NR0400X
License State California
License Number 12432
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According to our database, Gary Alan Jacob Chiropractic Inc NPI is 1073844494, taxonomy code is 111NR0400X and license number is 12432, license state is located at California. Gary Alan Jacob Chiropractic Inc physically located at 10474 Santa Monica Blvd, Los Angeles CA, 90025-6929. NPI Number 1033115704 has the healthcare provider type.

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1073844494 NPI number is provided on an as is basis without warranty of any kind. 1073844494 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Alan Jacob Chiropractic Inc are for informational purposes only.