| Michael Tebbe Chiropractic Corp. | |
|
10801 National Blvd, Ste 340, Los Angeles, CA 90064-4139 | |
| (424) 259-1432 | |
| Not Available |
| Full Name | Michael Tebbe Chiropractic Corp. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 10801 National Blvd, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598204968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 30255 (California) | Primary |
| Provider Name | Michael Gavin Tebbe |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1780754325 PECOS PAC ID: 5294017307 Enrollment ID: I20170125002947 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Tebbe Chiropractic Corp. 10801 National Blvd, Ste 340, Los Angeles, CA 90064-4139 Ph: (424) 259-1432 | Michael Tebbe Chiropractic Corp. 10801 National Blvd, Ste 340, Los Angeles, CA 90064-4139 Ph: (424) 259-1432 |
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