Organization
CANTONG ACTIVE LIFE CHIROPRACTIC INC
Active
Organization
CANTONG ACTIVE LIFE CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ENRIQUE CANTONG D.C. (CEO)
(213) 700-4819
Entity
Organization
Contact information
Practice address
3540 WILSHIRE BLVD, SUITE 620, LOS ANGELES, CA 90010-2350
(213) 487-4621
(213) 487-7621
Mailing address
3540 WILSHIRE BLVD, SUITE 620, LOS ANGELES, CA 90010-2307
(213) 487-4621
(213) 487-7621
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
DC21916
CA
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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