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Organization
PERFORMANCE SPINAL CARE
Active
Organization
PERFORMANCE SPINAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHETT MALLETT D.C. (MANAGER)
(323) 325-1223
Entity
Organization
Contact information
Practice address
1011 COLE AVE, LOS ANGELES, CA 90038-2601
(323) 325-1223
Mailing address
1011 COLE AVE, LOS ANGELES, CA 90038-2601
(323) 325-1223
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27812
CA
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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