Organization
BOSTEN CHIROPRACTIC A CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE DORENE CLEVELAND-BOSTEN D.C. (PRESIDENT)
(310) 559-6900
Entity
Organization
Contact information
Practice address
3283 MOTOR AVENUE, LOS ANGELES, CA 90034
(310) 559-6900
(310) 836-8664
Mailing address
3283 MOTOR AVENUE, LOS ANGELES, CA 90034
(310) 559-6900
(310) 836-8664
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC17611
CA
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WDC17611A
P PIN
—
Enumeration date
08/03/2006
Last updated
01/05/2015
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