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Organization

DR CHERYL REVKIN DC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LESLEE ELIZABETH PAINTER (OFFICE MANAGER)
(323) 665-1281
Entity
Organization

Contact information

Practice address
1724 WEST SILVERLAKE DRIVE, LOS ANGELES, CA 90026
(323) 665-1281
(323) 665-2739
Mailing address
1724 WEST SILVERLAKE DRIVE, LOS ANGELES, CA 90026
(323) 665-1281
(323) 665-2739

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC11799
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1598739872
NPI INDIVIDUAL TYPE 1
CA
Enumeration date
07/06/2006
Last updated
08/22/2020
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