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Organization
JACK LI, D.C., A CHIROPRACTIC CORPORATION
Active
Organization
JACK LI, D.C., A CHIROPRACTIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK T LI DC (PRESIDENT)
(310) 207-1007
Entity
Organization
Contact information
Practice address
12340 SANTA MONICA BLVD STE 129, LOS ANGELES, CA 90025-2584
(310) 207-1007
(310) 633-8338
Mailing address
12340 SANTA MONICA BLVD STE 129, LOS ANGELES, CA 90025-2584
(310) 207-1007
(310) 633-8338
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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