Provider Demographics
NPI:1659651545
Name:ALIGN HEALTH CENTER ADAMS AND MAIN CHIROPRACTIC
Entity type:Organization
Organization Name:ALIGN HEALTH CENTER ADAMS AND MAIN CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MAIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:310-522-5811
Mailing Address - Street 1:1118 N AVALON BLVD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:WILMINGTON
Mailing Address - State:CA
Mailing Address - Zip Code:90744-3520
Mailing Address - Country:US
Mailing Address - Phone:310-522-5811
Mailing Address - Fax:
Practice Address - Street 1:1118 N AVALON BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:WILMINGTON
Practice Address - State:CA
Practice Address - Zip Code:90744-3520
Practice Address - Country:US
Practice Address - Phone:310-522-5811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-23
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty