Organization
DEFAZIO CHIROPRACTIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK DEFAZIO D.C. (OWNER)
(310) 659-1775
Entity
Organization
Contact information
Practice address
206 S ROBERTSON BLVD, BEVERLY HILLS, CA 90211-2811
(310) 659-1775
Mailing address
PO BOX 1176, CARDIFF, CA 92007-7176
(858) 509-7999
(858) 509-3993
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC19752
CA
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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