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Organization
MAR VISTA HEALTH CENTER, INC
Active
Organization
MAR VISTA HEALTH CENTER, INC
Active
Other names
Sinel Medical Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE HIGASHI DC (EXECUTIVE)
(310) 391-2617
Entity
Organization
Contact information
Practice address
3030 SAWTELLE BLVD, LOS ANGELES, CA 90066-1408
(310) 391-2617
(310) 390-0868
Mailing address
3030 SAWTELLE BLVD, LOS ANGELES, CA 90066-1408
(310) 391-2617
(310) 390-0868
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC27651
CA
111N00000X
Chiropractor
Primary
DC27775
CA
111N00000X
Chiropractor
DC30839
CA
171100000X
Acupuncturist
AC10834
CA
171100000X
Acupuncturist
AC3057
CA
208100000X
Physical Medicine & Rehabilitation Physician
C51939
CA
208100000X
Physical Medicine & Rehabilitation Physician
G65692
CA
Other
Enumeration date
06/16/2010
Last updated
12/28/2010
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