Organization
5150FITNESS
Active
Other names
made in la fitness
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA MARGO LAWENT (OWNER)
(323) 350-2276
Entity
Organization
Contact information
Practice address
1710 N MCCADDEN PL, LOS ANGELES, CA 90028-4603
(323) 461-1990
(323) 461-1995
Mailing address
1710 N MCCADDEN PL, LOS ANGELES, CA 90028-4603
(323) 461-1990
(323) 461-1995
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
30111
CA
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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