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Organization
TARDGUILA CHIROPRACTIC PROFESSIONAL CORP.
Active
Organization
TARDGUILA CHIROPRACTIC PROFESSIONAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREORY STEVEN TARDAGUILA DC (OWNER)
(310) 961-8792
Entity
Organization
Contact information
Practice address
14650 AVIATION BLVD # 100B, HAWTHORNE, CA 90250-6668
(310) 961-8792
(310) 325-3041
Mailing address
14650 AVIATION BLVD # 100B, HAWTHORNE, CA 90250-6668
(310) 961-8792
(310) 325-3041
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC19626
CA
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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