| Chiroasis A Connolly Chiropractic Corporation | |
|
4560 Admiralty Way, Suite 252, Marina Del Rey, CA 90292-5423 | |
| (310) 306-4828 | |
| Not Available |
| Full Name | Chiroasis A Connolly Chiropractic Corporation |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4560 Admiralty Way, Marina Del Rey, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104064849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (California) | Primary |
| Provider Name | Jacqueline Connolly |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043456494 PECOS PAC ID: 3072660257 Enrollment ID: I20090403000178 |
| Mailing Address | Practice Location Address |
|---|---|
| Chiroasis A Connolly Chiropractic Corporation 4560 Admiralty Way, 252, Marina Del Rey, CA 90292 Ph: () - | Chiroasis A Connolly Chiropractic Corporation 4560 Admiralty Way, Suite 252, Marina Del Rey, CA 90292-5423 Ph: (310) 306-4828 |
Dr. Jacqueline Connolly, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 4560 Admiralty Way, Suite 252, Marina Del Rey, CA 90292 Phone: 310-306-4828 | |
Brad Foote, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4820 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-392-7889 | |
Dr. David Michael Reed, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 13356 Beach Ave, Marina Del Rey, CA 90292 Phone: 310-437-4371 Fax: 310-437-4372 | |
Dr. Luis Albert Japngie, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 13816 Bora Bora Way, A-109, Marina Del Rey, CA 90292 Phone: 310-266-2980 | |
Dr. Aria Yarmand, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 13400 Washington Blvd, Suite 105, Marina Del Rey, CA 90292 Phone: 310-622-4513 Fax: 310-578-9288 | |
Gabriel Altman, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3701 Via Dolce, Marina Del Rey, CA 90292 Phone: 310-383-0599 |