| Total Health | |
|
11620 Wilshire Blvd Ste 710, Los Angeles, CA 90025-1781 | |
| (310) 444-9393 | |
| (310) 473-6787 |
| Full Name | Total Health |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 11620 Wilshire Blvd Ste 710, 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 |
|---|---|---|---|
| 1295091049 | NPI | - | NPPES |
| 1295091049 | Medicaid | CA | |
| DC15055 | Other | CA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC15055 (California) | Primary |
| Provider Name | Jeffrey H Tucker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942212162 PECOS PAC ID: 1254597248 Enrollment ID: I20120718000896 |
| Mailing Address | Practice Location Address |
|---|---|
| Total Health 11620 Wilshire Blvd Ste 710, Los Angeles, CA 90025-1781 Ph: (310) 444-9393 | Total Health 11620 Wilshire Blvd Ste 710, Los Angeles, CA 90025-1781 Ph: (310) 444-9393 |
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