Organization
C.W. KLISHEVICH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN GARRETT (BILLING MANAGER)
(310) 348-0500
Entity
Organization
Contact information
Practice address
4560 ADMIRALTY WAY, STE 302, MARINA DEL REY, CA 90292-5423
(310) 348-0500
Mailing address
4650 ADMIRALTY WAY, STE 302, MARINA DEL REY, CA 90292
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC21026
CA
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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