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Organization
LATITUDE 34 WELLNESS
Active
Organization
LATITUDE 34 WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL W GATH (MANAGING CONSULTANT)
(310) 652-0085
Entity
Organization
Contact information
Practice address
8500 WILSHIRE BLVD, SUITE 1006, BEVERLY HILLS, CA 90211-3121
(310) 652-0085
(310) 652-1002
Mailing address
369 S DOHENY DR, SUITE 402, BEVERLY HILLS, CA 90211-3577
(310) 652-0085
(310) 652-1002
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC31908
CA
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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