| Kentwood Chiropractic | |
|
7917 Emerson Ave, Westchester, CA 90045-1120 | |
| (310) 215-9061 | |
| (310) 641-8194 |
| Full Name | Kentwood Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 7917 Emerson Ave, Westchester, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548694623 | NPI | - | NPPES |
| DC14123 | Other | CA | BLUE SHIELD PIN-DC0141230 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC14123 (California) | Primary |
| Provider Name | Leslie A Lauterbach-davis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053300376 PECOS PAC ID: 3779777446 Enrollment ID: I20101027000751 |
| Mailing Address | Practice Location Address |
|---|---|
| Kentwood Chiropractic 7917 Emerson Ave, Westchester, CA 90045-1120 Ph: (310) 215-9061 | Kentwood Chiropractic 7917 Emerson Ave, Westchester, CA 90045-1120 Ph: (310) 215-9061 |
Dr. Leslie Ann Lauterbach-davis, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 7917 Emerson Avenue, Westchester, CA 90045 Phone: 310-215-9061 Fax: 310-641-8194 | |
Dr. Bernard J. Davis, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7917 Emerson Avenue, Westchester, CA 90045 Phone: 310-215-9061 Fax: 310-641-8194 | |
Sepulveda Physical Medicine Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8632 S Sepulveda Blvd, Westchester, CA 90045 Phone: 310-348-8298 Fax: 310-348-8299 | |
Dr. Michael Robert Diamond, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8632 S Sepulveda Blvd, Suite 101, Westchester, CA 90045 Phone: 310-348-8298 Fax: 310-348-8299 | |
Donald Lee Stokes, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8632 S Sepulveda Blvd, Suite 101, Westchester, CA 90045 Phone: 310-910-0238 | |
Dr. George James Harraka, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8632 S Sepulveda Blvd, Suite 101, Westchester, CA 90045 Phone: 310-348-8298 Fax: 310-348-8299 |