Organization
CONVENTIONAL MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL CAPULONG DC (PRESIDENT)
(424) 789-0890
Entity
Organization
Contact information
Practice address
9454 WILSHIRE BLVD STE 628, BEVERLY HILLS, CA 90212-2931
(424) 789-0890
Mailing address
9454 WILSHIRE BLVD STE 628, BEVERLY HILLS, CA 90212-2931
(424) 789-0890
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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