Organization
DR. DEREK LEVY CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK V LEVY DC (OWNER)
(310) 379-0503
Entity
Organization
Contact information
Practice address
950 AVIATION BLVD STE K, HERMOSA BEACH, CA 90254-4016
(310) 379-0503
(310) 379-9631
Mailing address
950 AVIATION BLVD STE K, HERMOSA BEACH, CA 90254-4016
(310) 379-0503
(310) 379-9631
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285659318
NPPES
—
01
—
50186
AMERICAN SPECIALTY HEALTH
—
01
—
543488310
AETNA
—
Enumeration date
06/21/2022
Last updated
08/15/2022
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