| Carroll Chiropractic And Functional Health Solutions, Inc. | |
|
11650 Riverside Drive, Penthouse 1, Studio City, CA 91602 | |
| (818) 760-4808 | |
| (818) 760-4809 |
| Full Name | Carroll Chiropractic And Functional Health Solutions, Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 11650 Riverside Drive, Studio City, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952932311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Leland Edward Carroll |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396817359 PECOS PAC ID: 7416254750 Enrollment ID: I20160331000451 |
| Mailing Address | Practice Location Address |
|---|---|
| Carroll Chiropractic And Functional Health Solutions, Inc. 11650 Riverside Drive, Penthouse 1, Studio City, CA 91602 Ph: (818) 760-4808 | Carroll Chiropractic And Functional Health Solutions, Inc. 11650 Riverside Drive, Penthouse 1, Studio City, CA 91602 Ph: (818) 760-4808 |
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