| Defazio Chiropractic Corporation | |
|
206 S Robertson Blvd, Beverly Hills, CA 90211-2811 | |
| (310) 659-1775 | |
| Not Available |
| Full Name | Defazio Chiropractic Corporation |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 206 S Robertson Blvd, Beverly Hills, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275961302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC19752 (California) | Primary |
| Provider Name | Patrick L Defazio |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700956117 PECOS PAC ID: 0042494114 Enrollment ID: I20110414000254 |
| Mailing Address | Practice Location Address |
|---|---|
| Defazio Chiropractic Corporation Po Box 1176, Cardiff, CA 92007-7176 Ph: (858) 509-7999 | Defazio Chiropractic Corporation 206 S Robertson Blvd, Beverly Hills, CA 90211-2811 Ph: (310) 659-1775 |
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