Organization
ELYASI DEL TORTO CHIROPRACTIC, INC.
Active
Other names
PACIFIC SHORE CHIROPRACTIC
Organization subpart
No
Provider details
NPI number
Authorized official
POURIYA ELYASI DC (PRESIDENT)
(310) 935-2182
Entity
Organization
Contact information
Practice address
505 S PACIFIC AVE STE 103, SAN PEDRO, CA 90731-2656
(310) 935-2182
Mailing address
505 S PACIFIC AVE STE 103, SAN PEDRO, CA 90731-2656
(310) 935-2182
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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