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SOUTH BAY WELLNESS CENTER NPI 1235480963


NPI Information

NPI: 1235480963
Provider Name: SOUTH BAY WELLNESS CENTER
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
11968 AVIATION BLVD
INGLEWOOD, CA
ZIP 90304
Phone: (310) 848-4105
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SOUTH BAY WELLNESS CENTER is a chiropractor in Inglewood, CA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. SOUTH BAY WELLNESS CENTER NPI is 1235480963. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11968 AVIATION BLVD
INGLEWOOD, CA
ZIP 90304-001
Phone: (310) 848-4105
Fax: (310) 848-1403

The provider's authorized official is Kian M Javid .
The authorized official title is Clinic Director and has the following contact phone number (310) 848-1405.

The enumeration date for this NPI number is 9/20/2012 and was last updated on 3/10/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor33147CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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