Individual
AMANDA STAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2723 LINCOLN BLVD, SANTA MONICA, CA 90405-4621
(914) 552-8687
Mailing address
1912 N NEW HAMPSHIRE AVE, LOS ANGELES, CA 90027-1819
(914) 552-8687
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
34456
CA
Other
Enumeration date
02/20/2019
Last updated
06/11/2019
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