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Contact Information

LUCENT CHIROPRACTIC
11633 SAN VICENTE BLVD
SUITE 214
LOS ANGELES, CA90049-6511
 Phone: 310-592-7095
 Fax: 310-826-9894
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for LUCENT CHIROPRACTIC

NPI # 1063667152
LBN Legal business name LUCENT CHIROPRACTIC
Authorized official SERGE LAZATIN - (CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/17/2008
Last updated 11/17/2008 - About 18 years ago
Identifiers
CA License # DC30358
CA Other DC0303580 BLUE SHIELD
CA Other 1124212303 NPI FOR CHIROPRACTIC
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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