| Livefree Chiropractic Haven Inc | |
|
7687 Westminster Blvd Westminster CA 92683-3921 | |
| (626) 241-3689 | |
| (866) 660-6654 |
| Full Name | Livefree Chiropractic Haven Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7687 Westminster Blvd, Westminster, California |
| Authorized Official Name and Position | Khoa Dang Le (PRESIDENT) |
| Authorized Official Contact | 6262413689 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Livefree Chiropractic Haven Inc 7687 Westminster Blvd Westminster CA 92683-3921 Ph: (626) 241-3689 | Livefree Chiropractic Haven Inc 7687 Westminster Blvd Westminster CA 92683-3921 Ph: (626) 241-3689 |
| NPI Number | 1700340619 |
|---|---|
| Provider Enumeration Date | 01/24/2019 |
| Last Update Date | 01/24/2019 |
| Medicare PECOS PAC ID | 2466793880 |
|---|---|
| Medicare Enrollment ID | O20190412001559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700340619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Khoa D Le |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184933012 PECOS PAC ID: 3779767843 Enrollment ID: I20110414000259 |
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