Organization
BEWELL COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANYA DEJKUNCHORN DC (OWNER CEO)
(310) 909-6163
Entity
Organization
Contact information
Practice address
23505 CRENSHAW BLVD, TORRANCE, CA 90505-5221
(310) 909-6163
Mailing address
23505 CRENSHAW BLVD STE 205, TORRANCE, CA 90505-5288
(310) 909-6163
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/05/2008
Last updated
10/09/2023
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