Organization
GOLDEN STATE WELLNESS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH EDWARD CARTMELL RPT (PRESIDENT)
(818) 636-2811
Entity
Organization
Contact information
Practice address
600 S PACIFIC AVE, SUITE 210, SAN PEDRO, CA 90731-2684
(818) 636-2811
(818) 541-9658
Mailing address
600 S PACIFIC AVE, SUITE 210, SAN PEDRO, CA 90731-2684
(818) 636-2811
(818) 541-9658
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC25788
CA
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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