Individual
DR. CHARLES PATRICK SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1213 N SEPULVEDA BLVD, MANHATTAN BEACH, CA 90266-5103
(310) 545-4188
Mailing address
1771 REDONDO AVE APT 204, LONG BEACH, CA 90804-1969
(562) 668-4123
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
34599
CA
Other
Enumeration date
11/20/2019
Last updated
01/12/2024
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