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Individual

ANGELA FAISSAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
11611 SAN VINCENTE BLVD., LOS ANGELES, CA 90049
(925) 430-6630
Mailing address
879 MICHIGAN BLVD UNIT A, PASADENA, CA 91107-5703
(818) 572-5453

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC36478
CA

Other

Enumeration date
11/03/2022
Last updated
11/03/2022
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