Organization
MARINE THERAPEUTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN LEYVA (OWNER)
(310) 519-1557
Entity
Organization
Contact information
Practice address
795 W 9TH ST, SAN PEDRO, CA 90731-3601
(310) 519-1557
(310) 519-0330
Mailing address
795 W 9TH ST, SAN PEDRO, CA 90731-3601
(310) 519-1557
(310) 519-0330
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
DC13627
CA
111NI0013X
Independent Medical Examiner Chiropractor
Primary
DC26457
CA
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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