Organization
AGOURA HILLS CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY DWAIN JOHNSON D.C. (PRESIDENT)
(818) 991-4900
Entity
Organization
Contact information
Practice address
30313 CANWOOD ST, #33, AGOURA HILLS, CA 91301-4326
(818) 991-4900
(818) 991-4509
Mailing address
30313 CANWOOD ST, #33, AGOURA HILLS, CA 91301-4326
(818) 991-4900
(818) 991-4509
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/14/2009
Last updated
08/14/2009
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