Individual
MRS. MICHELL IRVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
520 N PROSPECT AVE STE 201, REDONDO BEACH, CA 90277-3042
(310) 374-9710
(310) 374-6626
Mailing address
520 NORTH PROSPECT AVE STE 201, REDONDO BEACH, CA 90277
(310) 374-9710
(310) 374-6626
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC19718
CA
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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