Individual
DR. DOMENIC DIDOMENICANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3445 PACIFIC COAST HWY, SUITE 300, TORRANCE, CA 90505-6658
(310) 325-3044
Mailing address
3445 PACIFIC COAST HWY, SUITE 300, TORRANCE, CA 90505-6658
(310) 325-3044
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC27596
CA
111NS0005X
Sports Physician Chiropractor
DC27596
CA
111NX0100X
Occupational Health Chiropractor
DC27596
CA
111NX0800X
Orthopedic Chiropractor
DC27596
CA
Other
Enumeration date
09/14/2006
Last updated
09/09/2008
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