Organization
TOTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY DIDOMENICANTONIO DC (OWNER)
(310) 597-7925
Entity
Organization
Contact information
Practice address
14650 AVIATION BLVD STE 100, HAWTHORNE, CA 90250-6667
(310) 725-9016
(310) 325-3041
Mailing address
14650 AVIATION BLVD STE 100, HAWTHORNE, CA 90250-6667
(310) 725-9016
(310) 325-3041
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760587364
NON MEDICARE
CA
Enumeration date
12/06/2018
Last updated
12/06/2018
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