Nicholas D Kousoulis, DC | |
1062 Westwood Blvd, Los Angeles, CA 90024-2903 | |
(310) 208-0101 | |
(323) 512-5228 |
Full Name | Nicholas D Kousoulis |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 19 Years |
Location | 1062 Westwood Blvd, Los Angeles, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003019373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 30570 (California) | Primary |
Provider Name | Kousoulis Chiropractic Professional Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134414469 PECOS PAC ID: 9032381454 Enrollment ID: O20111007000145 |
Mailing Address | Practice Location Address |
---|---|
Nicholas D Kousoulis, DC 1062 Westwood Blvd, Los Angeles, CA 90024-2903 Ph: (310) 208-0101 | Nicholas D Kousoulis, DC 1062 Westwood Blvd, Los Angeles, CA 90024-2903 Ph: (310) 208-0101 |
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