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Organization
SOUTH BAY WELLNESS CENTER
Active
Organization
SOUTH BAY WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIAN M JAVID (CLINIC DIRECTOR)
(310) 848-1405
Entity
Organization
Contact information
Practice address
11968 AVIATION BLVD, INGLEWOOD, CA 90304-1001
(310) 848-4105
(310) 848-1403
Mailing address
11968 AVIATION BLVD, INGLEWOOD, CA 90304-1001
(310) 848-1405
(310) 848-1403
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
33147
CA
Other
Enumeration date
09/20/2012
Last updated
03/10/2015
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