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Lucent Chiropractic
Preferred Provider Organization in Los Angeles, California
NPI 1063667152

Lucent Chiropractic is a Preferred Provider Organization based in Los Angeles, CA. Lucent Chiropractic practices in Los Angeles, CA. The NPI Number for Lucent Chiropractic is 1063667152 and holds a License No. DC30358 (California).

The current practice location address for Lucent Chiropractic is 11633 San Vicente Blvd, Los Angeles, CA and can be reached out via phone at 310-592-7095 and via fax at 310-826-9894.

Location: 11633 San Vicente Blvd, Los Angeles, CA, 90049-6511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063667152
Provider Name
Lucent Chiropractic
Credential
Provider Entity Type
Organization
Address
11633 San Vicente Blvd, Los Angeles, CA, 90049-6511
Phone Number
310-592-7095
Fax Number
310-826-9894
Provider Enumeration Date
11/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DC0303580 01 CA BLUE SHIELD
1124212303 01 CA NPI FOR CHIROPRACTIC
institution
Provider Business Practice Location Address Details
Address
11633 San Vicente Blvd
City
Los Angeles
State
California
Zip
90049-6511
Phone Number
310-592-7095
Fax Number
310-826-9894
person
Provider Business Mailing Address Details
Address
11633 San Vicente Blvd
City
Los Angeles
State
California
Zip
90049-6511
Phone Number
310-592-7095
Fax Number
310-826-9894
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
DC30358 (California)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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