Organization
DR. JOHN LIDDY, DC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FELICIA THOMAS (OWNER BILLING SERVICE)
(858) 504-0595
Entity
Organization
Contact information
Practice address
606 WESTMOUNT DR, WEST HOLLYWOOD, CA 90069-5108
(310) 659-1959
(310) 659-4769
Mailing address
8581 SANTA MONICA BLVD # 406, WEST HOLLYWOOD, CA 90069-4120
(310) 659-1959
(310) 659-4769
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC16468
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC16468
STATE LICENSE
CA
Enumeration date
11/27/2007
Last updated
11/27/2007
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