Individual
DR. WILLIAM VERNON TRABOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
8725 LA TIJERA BLVD, LOS ANGELES, CA 90045-3906
(424) 331-5661
(310) 760-2033
Mailing address
8725 LA TIJERA BLVD, LOS ANGELES, CA 90045-3906
(424) 331-5661
(310) 760-2033
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
1266
NM
111NS0005X
Sports Physician Chiropractor
Primary
DC22873
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM00KJ55
BC/BS
NM
05
—
U46225
—
NM
Enumeration date
01/30/2006
Last updated
06/15/2021
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