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Organization
TSU CHIROPRACTIC CORPORATION
Active
Organization
TSU CHIROPRACTIC CORPORATION
Active
Other names
BODY DETOX
Organization subpart
No
Provider details
NPI number
Authorized official
TSU LAM DC (PRESIDENT)
(626) 960-5096
Entity
Organization
Contact information
Practice address
811 S GLENDORA AVE, WEST COVINA, CA 91790-4202
(626) 960-5096
Mailing address
811 S GLENDORA AVE, WEST COVINA, CA 91790-4202
(310) 924-9678
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB391448
MEDICARE
CA
Enumeration date
07/20/2021
Last updated
07/30/2022
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