Douglas Raymond Cole Trust | |
12153 Ventura Blvd Ste 104, Studio City, CA 91604-2500 | |
(818) 515-4496 | |
(818) 506-3806 |
Full Name | Douglas Raymond Cole Trust |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 12153 Ventura Blvd Ste 104, Studio City, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760852164 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC21656 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Douglas Raymond Cole Trust 12153 Ventura Blvd Ste 104, Studio City, CA 91604-2500 Ph: (818) 515-4496 | Douglas Raymond Cole Trust 12153 Ventura Blvd Ste 104, Studio City, CA 91604-2500 Ph: (818) 515-4496 |
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