| San Pedro Chiropractic Clinic | |
|
1534 W 25th St, San Pedro, CA 90732-4402 | |
| (310) 548-5656 | |
| (310) 382-2085 |
| Full Name | San Pedro Chiropractic Clinic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1534 W 25th St, San Pedro, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952813602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| Provider Name | Tyler Clark |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730540295 PECOS PAC ID: 8224323761 Enrollment ID: I20160823003103 |
| Provider Name | Ramin Eshghi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528513249 PECOS PAC ID: 9335408848 Enrollment ID: I20180110001282 |
| Mailing Address | Practice Location Address |
|---|---|
| San Pedro Chiropractic Clinic 1534 W 25th St, San Pedro, CA 90732-4402 Ph: (310) 548-5656 | San Pedro Chiropractic Clinic 1534 W 25th St, San Pedro, CA 90732-4402 Ph: (310) 548-5656 |
Ms. Kim D Kromas, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 302 W 5th St, #101, San Pedro, CA 90731 Phone: 310-832-5818 Fax: 310-832-7236 | |
Dr. Enrique Santana, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 28122 S Western Ave, San Pedro, CA 90732 Phone: 310-935-2470 Fax: 424-536-3013 | |
Elyasi Del Torto Chiropractic, Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 505 S Pacific Ave Ste 103, San Pedro, CA 90731 Phone: 310-935-2182 | |
Schwab Chiropractic Inc. Chiropractor Medicare: Medicare Enrolled Practice Location: 870 W 9th St Ste 103, San Pedro, CA 90731 Phone: 310-831-5677 | |
Ghassemi Chiropractic Corp, Apc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1534 W 25th St, San Pedro, CA 90732 Phone: 310-548-5656 Fax: 310-382-2085 | |
Dr. Ajay Kalra, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 639 W 9th St, San Pedro, CA 90731 Phone: 310-831-1447 Fax: 310-831-5728 | |
Son Lam Nguyen, D.C, L.AC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 643 West 6th St, San Pedro, CA 90731 Phone: 310-612-3975 |