Organization
PAVEL GRYUNSHPAN CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAVEL GRYUNSHPAN D.C. (OWNER)
(323) 936-0149
Entity
Organization
Contact information
Practice address
425 S FAIRFAX AVE # 201, LOS ANGELES, CA 90036-3148
(323) 936-0149
(323) 936-0173
Mailing address
425 S FAIRFAX AVE # 201, LOS ANGELES, CA 90036-3148
(323) 936-0149
(323) 936-0173
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
DC29542
CA
Other
Enumeration date
09/28/2006
Last updated
08/22/2020
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