Provider Demographics
NPI:1952738247
Name:REED CHIROPRACTIC & WELLNESS CENTER A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:REED CHIROPRACTIC & WELLNESS CENTER A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-437-4371
Mailing Address - Street 1:13356 BEACH AVE
Mailing Address - Street 2:
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-5622
Mailing Address - Country:US
Mailing Address - Phone:310-437-4371
Mailing Address - Fax:310-306-2948
Practice Address - Street 1:13356 BEACH AVE
Practice Address - Street 2:
Practice Address - City:MARINA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90292-5622
Practice Address - Country:US
Practice Address - Phone:310-437-4371
Practice Address - Fax:310-306-2948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-01
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty