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Organization
SAMUEL G WEST A CHIROPRACTIC CORPORATION
Active
Organization
SAMUEL G WEST A CHIROPRACTIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL G WEST D.C. (OWNER / PROVIDER)
(562) 498-6647
Entity
Organization
Contact information
Practice address
5479 E ABBEYFIELD ST, 2, LONG BEACH, CA 90815-3050
(562) 498-6647
(562) 986-5677
Mailing address
15550 ROCKFIELD BLVD, B220, IRVINE, CA 92618-2720
(949) 598-9999
(949) 598-9990
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC16967
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285723999
INDIVIDUAL NPI
CA
01
—
DC0169670
BLUE SHIELD
CA
01
—
DC16967
CHIROPRACTIC LICENSE
CA
01
—
W22568
GROUP PTAN
CA
01
—
WDC16967A
INDIVIDUAL PTAN
CA
Enumeration date
06/22/2007
Last updated
11/08/2010
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