| Marvin C Lee Chiropractic Pc | |
|
1625 W Olympic Blvd Ste M103, Los Angeles, CA 90015-3824 | |
| (323) 375-5147 | |
| (323) 375-5155 |
| Full Name | Marvin C Lee Chiropractic Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1625 W Olympic Blvd Ste M103, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073922936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Marvin C Lee |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477566438 PECOS PAC ID: 8325025190 Enrollment ID: I20040630000839 |
| Mailing Address | Practice Location Address |
|---|---|
| Marvin C Lee Chiropractic Pc 1625 W Olympic Blvd Ste M103, Los Angeles, CA 90015-3824 Ph: (323) 375-5147 | Marvin C Lee Chiropractic Pc 1625 W Olympic Blvd Ste M103, Los Angeles, CA 90015-3824 Ph: (323) 375-5147 |
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