Dr Charles Patrick Small, DC | |
1213 N Sepulveda Blvd, Manhattan Beach, CA 90266-5103 | |
(310) 545-4188 | |
Not Available |
Full Name | Dr Charles Patrick Small |
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Gender | Male |
Speciality | Chiropractor |
Location | 1213 N Sepulveda Blvd, Manhattan Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1528604980 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 34599 (California) | Primary |
Provider Name | Dr. Charles Small Sport And Spine Chiropractic And Physical Medicine |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699530436 PECOS PAC ID: 0941641757 Enrollment ID: O20240510001809 |
Mailing Address | Practice Location Address |
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Dr Charles Patrick Small, DC 1771 Redondo Ave Apt 204, Long Beach, CA 90804-1969 Ph: (562) 668-4123 | Dr Charles Patrick Small, DC 1213 N Sepulveda Blvd, Manhattan Beach, CA 90266-5103 Ph: (310) 545-4188 |
William John Cogan, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 204 Kelp St, Manhattan Beach, CA 90266 Phone: 310-498-1230 | |
Victoria Marie Hall, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 400 S Sepulveda Blvd Ste 200, Manhattan Beach, CA 90266 Phone: 310-546-3461 | |
Christopher L Palmer, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3217 Highland Ave, Manhattan Beach, CA 90266 Phone: 310-200-5995 | |
Kelly Grace Wynkoop, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 400 S Sepulveda Blvd Ste 247, Manhattan Beach, CA 90266 Phone: 310-798-6496 | |
Theresa M Tarcha, Chiropractor Medicare: Medicare Enrolled Practice Location: 3770 Highland Ave 105, Manhattan Beach, CA 90266 Phone: 310-318-9543 | |
Julia R. Moen Chiropractic, Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 400 S. Sepulveda Blvd, Suite 247, Manhattan Beach, CA 90266 Phone: 310-374-1952 | |
Dr. Mitchell Norman Spirt, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 400 N Sepulveda Blvd, #b, Manhattan Beach, CA 90266 Phone: 310-418-3223 |