Organization
SYNERGY HEALTHCARE & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAHYAR D YADIDI (CEO)
(310) 666-4721
Entity
Organization
Contact information
Practice address
505 SOUTH PACIFIC AVENUE, SUITE 101, SAN PEDRO, CA 90731-2656
(310) 935-2935
(310) 751-7002
Mailing address
PO BOX 1488, SAN PEDRO, CA 90733-1488
(310) 935-2935
(310) 751-7002
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
31908
CA
Other
Enumeration date
11/02/2013
Last updated
11/25/2014
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