Organization
MOON CHIROPRACTIC GROUP, INC
Active
Organization
MOON CHIROPRACTIC GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMY J BAE D.C. (CFO)
(213) 388-9994
Entity
Organization
Contact information
Practice address
2560 W OLYMPIC BLVD, STE 304, LOS ANGELES, CA 90006-2972
(213) 388-9994
Mailing address
2560 W OLYMPIC BLVD, STE 304, LOS ANGELES, CA 90006-2972
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
29321
CA
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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