Organization
ANDALISIA THERAPY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERA ALLEN (CLINIC DIRECTOR)
(323) 848-8282
Entity
Organization
Contact information
Practice address
8157 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-4912
(323) 848-8036
(323) 848-8294
Mailing address
8157 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-4912
(323) 848-8036
(323) 848-8294
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC29483
CA
111NP0017X
Pediatric Chiropractor
DC29483
CA
111NS0005X
Sports Physician Chiropractor
DC29483
—
171100000X
Acupuncturist
AC11638
CA
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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