Dr Jason Stoddard, DC | |
1777 N Bellflower Blvd, Suite 107, Long Beach, CA 90815-4013 | |
(562) 280-3770 | |
Not Available |
Full Name | Dr Jason Stoddard |
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Gender | Male |
Speciality | Chiropractor |
Location | 1777 N Bellflower Blvd, Long 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 |
---|---|---|---|
1104219690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 33217 (California) | Primary |
Provider Name | Gateway Rehab & Wellness Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184746927 PECOS PAC ID: 7517094980 Enrollment ID: O20100416000619 |
Mailing Address | Practice Location Address |
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Dr Jason Stoddard, DC 1777 N Bellflower Blvd, Suite 107, Long Beach, CA 90815-4013 Ph: (562) 280-3770 | Dr Jason Stoddard, DC 1777 N Bellflower Blvd, Suite 107, Long Beach, CA 90815-4013 Ph: (562) 280-3770 |
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