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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