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Organization
LA SPORTS & SPINE, INC.
Active
Organization
LA SPORTS & SPINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG LIEBENSON D.C. (DOCTOR OF CHIROPRACTIC/ OWNER)
(310) 470-2909
Entity
Organization
Contact information
Practice address
10474 SANTA MONICA BLVD, SUITE 304, LOS ANGELES, CA 90025-6929
(310) 470-2909
(310) 470-3286
Mailing address
10474 SANTA MONICA BLVD, SUITE 304, LOS ANGELES, CA 90025-6929
(310) 470-2909
(310) 470-3286
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC18136
CA
111NR0400X
Rehabilitation Chiropractor
DC18136
CA
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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