Individual
DOUG RICCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
418 N LARCHMONT BLVD, LOS ANGELES, CA 90004-3014
(323) 378-6333
(323) 378-6333
Mailing address
418 N LARCHMONT BLVD, LOS ANGELES, CA 90004-3014
(323) 378-6333
(323) 378-6333
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
30111
CA
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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