Organization
JOHN A. LIDDY, D.C.
Active
Other names
Liddy Health and Fitness
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORRA A LIDDY (OFFICE MANAGER)
(310) 659-1959
Entity
Organization
Contact information
Practice address
8920 W SUNSET BLVD STE 200, WEST HOLLYWOOD, CA 90069-1812
(310) 659-1959
(310) 659-4769
Mailing address
8920 W SUNSET BLVD STE 200, WEST HOLLYWOOD, CA 90069-1812
(310) 659-1959
(310) 659-4769
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC16468
CA
111NR0400X
Rehabilitation Chiropractor
Primary
DC31233
CA
111NR0400X
Rehabilitation Chiropractor
DC31888
CA
111NS0005X
Sports Physician Chiropractor
DC16468
CA
Other
Enumeration date
05/13/2012
Last updated
05/16/2012
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