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TARDGUILA CHIROPRACTIC PROFESSIONAL CORP. NPI 1467963462


NPI Information

NPI: 1467963462
Provider Name: TARDGUILA CHIROPRACTIC PROFESSIONAL CORP.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
14650 AVIATION BLVD # 100B
HAWTHORNE, CA
ZIP 90250
Phone: (310) 961-8792
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TARDGUILA CHIROPRACTIC PROFESSIONAL CORP. is a chiropractor in Hawthorne, 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. TARDGUILA CHIROPRACTIC PROFESSIONAL CORP. NPI is 1467963462. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14650 AVIATION BLVD # 100B
HAWTHORNE, CA
ZIP 90250-668
Phone: (310) 961-8792
Fax: (310) 325-3041

The provider's authorized official is Greory Steven Tardaguila .
The authorized official title is Owner and has the following contact phone number (310) 961-8792.

The enumeration date for this NPI number is 10/17/2017 and was last updated on 10/17/2017.


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
1111N00000XChiropractorDC19626CALIFORNIAYes

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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