| Phillip Lavine Chiropractic Inc. | |
|
1716 Erringer Rd Ste 100, Simi Valley, CA 93065-6524 | |
| (805) 581-8053 | |
| (805) 581-8052 |
| Full Name | Phillip Lavine Chiropractic Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1716 Erringer Rd Ste 100, Simi Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316757966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Phillip Lavine |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205870375 PECOS PAC ID: 4688650880 Enrollment ID: I20040628001248 |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip Lavine Chiropractic Inc. 1716 Erringer Rd Ste 100, Simi Valley, CA 93065-6524 Ph: (805) 581-8053 | Phillip Lavine Chiropractic Inc. 1716 Erringer Rd Ste 100, Simi Valley, CA 93065-6524 Ph: (805) 581-8053 |
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