Organization
DOUGLAS RAYMOND COLE TRUST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS RAYMOND COLE DC (TRUSTEE)
(818) 515-4496
Entity
Organization
Contact information
Practice address
12153 VENTURA BLVD STE 104, STUDIO CITY, CA 91604-2500
(818) 515-4496
(818) 506-3806
Mailing address
12153 VENTURA BLVD STE 104, STUDIO CITY, CA 91604-2500
(818) 515-4496
(818) 506-3806
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC21656
CA
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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