Organization
SEPULVEDA PHYSICAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE HARRAKA DC (OWNER)
(310) 348-8298
Entity
Organization
Contact information
Practice address
8632 S SEPULVEDA BLVD, WESTCHESTER, CA 90045-4015
(310) 348-8298
(310) 348-8299
Mailing address
8632 S SEPULVEDA BLVD, WESTCHESTER, CA 90045-4015
(310) 348-8298
(310) 348-8299
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
223474076
CA
208600000X
Surgery Physician
Primary
800326306
CA
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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