Organization
NAZARETH CLINIC CORP
Active
Organization
NAZARETH CLINIC CORP
Active
Other names
Nazareth Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE CHOU DC (CEO)
(213) 389-5865
Entity
Organization
Contact information
Practice address
2140 W OLYMPIC BLVD STE 321, LOS ANGELES, CA 90006-2279
(213) 389-5865
Mailing address
2140 W OLYMPIC BLVD STE 321, LOS ANGELES, CA 90006-2279
(213) 389-5865
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC25845
CA
111NS0005X
Sports Physician Chiropractor
Primary
DC 25845
CA
171100000X
Acupuncturist
AC 6463
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC 6463
CALIFORNIA ACUPUNCTURE BOARD
CA
01
—
DC 25845
CALIFORNIA BOARD OF CHIROPRACTIC EXAMINERS
CA
Enumeration date
05/23/2008
Last updated
05/23/2008
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