Westside Wellness Center

NPI 1063659753 - Chiropractor - 111N00000X

NPI Details
NPI 1063659753
Enumeration Date 01/16/2009
Last Updated 01/16/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JASON WALTER JASON
Position DIRECTOR CHIRO & CLINICAL SERVICES
Phone (310) 231-7000
Fax (310) 231-7000
Practice Location
11645 WILSHIRE BLVD
120
LOS ANGELES CA, 90025-1708, US
Phone (310) 231-7000
Fax (310) 231-7000
Business Location
11645 WILSHIRE BLVD
120
LOS ANGELES CA, 90025-1708, US
Phone (310) 231-7000
Fax (310) 231-7000
Toxanomy
Taxonomy Code 111N00000X
License State California
License Number 16444
Remove 1063659753 NPI Number
 

According to our database, Westside Wellness Center NPI is 1063659753, taxonomy code is 111N00000X and license number is 16444, license state is located at California. Westside Wellness Center physically located at 11645 Wilshire Blvd, Los Angeles CA, 90025-1708. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1063659753 NPI number is provided on an as is basis without warranty of any kind. 1063659753 is maintained by the National Plan & Provider Enumeration System. The contents of Westside Wellness Center are for informational purposes only.