Organization
COLLAZO CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ANTHONY COLLAZO D.C. (DOCTOR)
(323) 262-9222
Entity
Organization
Contact information
Practice address
400 N FORD BLVD, LOS ANGELES, CA 90022-1122
(323) 262-9222
Mailing address
400 N FORD BLVD, LOS ANGELES, CA 90022-1122
(323) 262-9222
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC23570
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC23570
MEDICARE PTAN
CA
Enumeration date
08/19/2009
Last updated
08/19/2009
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