# DVORSKY CHIROPRACTIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265765408
- **Authorized official:** DR. JAY W DVORSKY D.C. (CEO)
- **Authorized official phone:** (310) 399-1885

## Contact information

- **Practice address:** 2701 OCEAN PARK BLVD, \#118, SANTA MONICA, CA 90405-5200
- **Practice address phone:** (310) 399-1885
- **Practice address fax:** (310) 399-1505
- **Mailing address:** 2701 OCEAN PARK BLVD, \#118, SANTA MONICA, CA 90405-5200
- **Mailing address phone:** (310) 399-1885
- **Mailing address fax:** (310) 399-1505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | 19438 | CA | Yes |

## Other

- **Enumeration date:** 09/04/2009
- **Last updated:** 09/04/2009
