Organization
ELYASI CHIROPRACTIC, APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. POURIYA ELYASI (DOCTOR/OWNER)
(310) 628-0727
Entity
Organization
Contact information
Practice address
505 S PACIFIC AVE STE 103, SAN PEDRO, CA 90731-2656
(310) 628-0727
Mailing address
428 N PALM DR APT 104, BEVERLY HILLS, CA 90210-3937
(310) 628-0727
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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