| Elite Chiropractic And Wellness Center | |
|
300 S Rexford Dr, 401, Beverly Hills, CA 90212-4667 | |
| (310) 666-2776 | |
| Not Available |
| Full Name | Elite Chiropractic And Wellness Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 300 S Rexford Dr, Beverly Hills, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679918437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CD32573 (California) | Primary |
| Provider Name | Jamie Mahtaban |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1649512674 PECOS PAC ID: 3971742495 Enrollment ID: I20130613000393 |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Chiropractic And Wellness Center 300 S Rexford Dr, 401, Beverly Hills, CA 90212-4667 Ph: (310) 666-2776 | Elite Chiropractic And Wellness Center 300 S Rexford Dr, 401, Beverly Hills, CA 90212-4667 Ph: (310) 666-2776 |
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