Organization
SAMUELS CHIROPRACTIC HEALTH CORPORATION
Active
Organization
SAMUELS CHIROPRACTIC HEALTH CORPORATION
Active
Other names
Samuels Health Management Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALEED SAMUELS DC, CCSP (CHIROPRACTOR/OWNER)
(310) 684-1807
Entity
Organization
Contact information
Practice address
1423 W 8TH ST, SAN PEDRO, CA 90732-3803
(310) 684-1807
Mailing address
28000 S WESTERN AVE UNIT 227, SAN PEDRO, CA 90732-1204
(310) 684-1807
(310) 684-1607
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
111NS0005X
Sports Physician Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
225700000X
Massage Therapist
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083389878
NPI
CA
01
—
1265821672
NATIONAL PROVIDER IDENTIFICATION
CA
Enumeration date
08/12/2021
Last updated
10/05/2022
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