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Organization
JEFFREY TUCKER A CHIROPRACTIC CORP
Active
Organization
JEFFREY TUCKER A CHIROPRACTIC CORP
Active
Parent organization
JEFFREY TUCKER A CHIROPRACTIC CORP
Other names
Total Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEFFREY TUCKER A CHIROPRACTIC CORP
Authorized official
DR. JEFFREY H TUCKER D.C. (OWNER)
(310) 444-9393
Entity
Organization
Contact information
Practice address
11620 WILSHIRE BLVD STE 710, LOS ANGELES, CA 90025-1781
(310) 444-9393
(310) 473-6787
Mailing address
11620 WILSHIRE BLVD STE 710, LOS ANGELES, CA 90025-1781
(310) 444-9393
(310) 473-6787
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC15055
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295091049
—
CA
01
—
DC15055
LICENSE
CA
Enumeration date
04/05/2012
Last updated
05/02/2018
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