Create Health | |
1920 Allesandro St, Los Angeles, CA 90039-3966 | |
(323) 663-7736 | |
(323) 747-1241 |
Full Name | Create Health |
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Type | Facility |
Speciality | Chiropractor |
Location | 1920 Allesandro St, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568215069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Stanley Nathan Gale |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1578764643 PECOS PAC ID: 7618277625 Enrollment ID: I20151124000663 |
Mailing Address | Practice Location Address |
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Create Health 1920 Allesandro St, Los Angeles, CA 90039-3966 Ph: (323) 663-7736 | Create Health 1920 Allesandro St, Los Angeles, CA 90039-3966 Ph: (323) 663-7736 |
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