Dr Dominique Matthew Scott, | |
510 N Prospect Ave, Ste.207, Redondo Beach, CA 90277-3028 | |
(310) 376-5433 | |
Not Available |
Full Name | Dr Dominique Matthew Scott |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 510 N Prospect Ave, Redondo 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 |
---|---|---|---|
1932283439 | NPI | - | NPPES |
DC0253770 | Other | CA | BLUE SHIELD PROVIDER # |
P00136906 | Other | CA | PALMETTO GBA RAIL ROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC25377 (California) | Primary |
Provider Name | Synergy Sports Wellness Institute |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952770851 PECOS PAC ID: 6800106857 Enrollment ID: O20151104000957 |
Mailing Address | Practice Location Address |
---|---|
Dr Dominique Matthew Scott, 510 N Prospect Ave, Ste.207, Redondo Beach, CA 90277-3028 Ph: (310) 376-5433 | Dr Dominique Matthew Scott, 510 N Prospect Ave, Ste.207, Redondo Beach, CA 90277-3028 Ph: (310) 376-5433 |
Dr. Sandra Elizabeth Nystrom, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2226 Bataan Rd, Redondo Beach, CA 90278 Phone: 310-374-4013 Fax: 310-542-8349 | |
Dr. Ivan Alexander Sanchez, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 901 N Pacific Coast Hwy, 101, Redondo Beach, CA 90277 Phone: 310-619-3440 Fax: 310-540-7799 | |
Adrian Korol Chiropractic Corporation Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 234 South Pch, Suite 202, Redondo Beach, CA 90277 Phone: 310-374-7482 Fax: 310-372-2932 | |
Dr. Mohammad Rafifar, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1820 S Catalina Ave Ste 108, Redondo Beach, CA 90277 Phone: 310-383-2330 | |
Mahlleace Tomsin, D C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1826 S Elena Ave, Suite A, Redondo Beach, CA 90277 Phone: 310-373-3500 | |
Dr. Adrian Julian Korol, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 234 S Pacific Coast Highway, Suite 202, Redondo Beach, CA 90277 Phone: 310-374-7482 Fax: 310-372-2932 | |
Pro-active Wellness Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2310 Artesia Blvd, Redondo Beach, CA 90278 Phone: 310-372-2063 Fax: 310-379-5748 |