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Organization
PREMIERE SPORTS MEDICINE MEDICAL GROUP
Active
Organization
PREMIERE SPORTS MEDICINE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN NAIM D.C. (PRESIDENT)
(310) 322-8777
Entity
Organization
Contact information
Practice address
2255 E MAPLE AVE, EL SEGUNDO, CA 90245-6508
(310) 322-8777
Mailing address
2255 E MAPLE AVE, EL SEGUNDO, CA 90245-6508
(310) 322-8777
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC29474
CA
111N00000X
Chiropractor
DC32082
CA
171100000X
Acupuncturist
AC15268
CA
208100000X
Physical Medicine & Rehabilitation Physician
G80322
CA
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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