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Organization
SOVETKY CHIROPRACTIC INC.
Active
Organization
SOVETKY CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL LOUIS SOVETKY D.C. (C.E.O., C.F.O.)
(818) 360-1967
Entity
Organization
Contact information
Practice address
11020 BALBOA BLVD, GRANADA HILLS, CA 91344-5007
(818) 360-1967
(818) 360-6206
Mailing address
11020 BALBOA BLVD, GRANADA HILLS, CA 91344-5007
(818) 360-1967
(818) 360-6206
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC20801
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D620801
MEDICARE I D UNSPECIFIED
CA
Enumeration date
11/30/2009
Last updated
11/30/2009
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