| Reynolds Chiropractic Inc | |
|
11340 W Olympic Blvd Ste 138, Los Angeles, CA 90064-1611 | |
| (310) 477-3335 | |
| Not Available |
| Full Name | Reynolds Chiropractic Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 11340 W Olympic Blvd Ste 138, 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 |
|---|---|---|---|
| 1396210886 | NPI | - | NPPES |
| DC30050 | Other | CA | CHIROPRACTIC LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Tanya Marie Ryan Reynolds |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942308341 PECOS PAC ID: 8921000100 Enrollment ID: I20070201000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Reynolds Chiropractic Inc Po Box 1176, Cardiff, CA 92007-7176 Ph: (858) 509-7999 | Reynolds Chiropractic Inc 11340 W Olympic Blvd Ste 138, Los Angeles, CA 90064-1611 Ph: (310) 477-3335 |
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