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BRUCE BEDDOE D.C. NPI 1811014921


NPI Information

NPI: 1811014921
Provider Name: BRUCE BEDDOE D.C.

Doing Business As: PALISADES HOLISTIC CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
15247 W SUNSET BLVD
#202
PACIFIC PALISADES, CA
ZIP 90272
Phone: (310) 454-0648
Get Directions

BRUCE BEDDOE D.C. is a chiropractor in Pacific Palisades, 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. BRUCE BEDDOE D.C. NPI is 1811014921. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Palisades Holistic Chiropractic.

The provider's business location address is:

15247 W SUNSET BLVD
#202
PACIFIC PALISADES, CA
ZIP 90272-624
Phone: (310) 454-0648
Fax: (310) 459-3768

The provider's authorized official is Bruce Beddoe .
The authorized official title is President and has the following contact phone number (310) 454-0648.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 1/16/2013.


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
1111N00000XChiropractor12125CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W21060MEDICARE PINCALIFORNIA

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: 11/14/2023

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