Organization
BACK BENDERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT TUPTA (AGENT)
(323) 344-8879
Entity
Organization
Contact information
Practice address
1551 COLORADO BLVD STE 104, LOS ANGELES, CA 90041-1456
(323) 344-8879
Mailing address
1551 COLORADO BLVD STE 104, LOS ANGELES, CA 90041-1456
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
30514
CA
Other
Enumeration date
06/20/2016
Last updated
01/16/2017
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