Courtyard Wellnes | |
5700 Wilshire Blvd # 165, Los Angeles, CA 90036-3659 | |
(323) 932-1999 | |
(323) 932-8899 |
Full Name | Courtyard Wellnes |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 5700 Wilshire Blvd # 165, Los Angeles, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558494237 | NPI | - | NPPES |
DC26056 | Other | CA | STATE LICENSE |
ZZZ58789Z | Other | CA | BLUE SHIELD |
DC26173 | Other | CA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC26173 (California) | Primary |
111N00000X | Chiropractor | DC26056 (California) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Courtyard Wellnes 5700 Wilshire Blvd # 165, Los Angeles, CA 90036-3659 Ph: (323) 932-1999 | Courtyard Wellnes 5700 Wilshire Blvd # 165, Los Angeles, CA 90036-3659 Ph: (323) 932-1999 |
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