PREMIERE SPORTS MEDICINE MEDICAL GROUP

EL SEGUNDO, CA
NPI1487075693
Entity TypeOrganization
Authorized ContactALAN NAIM
President
310-322-8777
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: CA  DC29474)
Additional Taxonomies111N00000X Chiropractor
(Licence: CA  DC32082)
171100000X Acupuncturist
(Licence: CA  AC15268)
208100000X Physical Medicine & Rehabilitation
(Licence: CA  G80322)
Enumeration Date2013-12-16
Last Update Date2013-12-16
Business Address
PREMIERE SPORTS MEDICINE MEDICAL GROUP
2255 E MAPLE AVE
EL SEGUNDO, CA 90245-6508
Phone number: 310-322-8777
Mailing Address
PREMIERE SPORTS MEDICINE MEDICAL GROUP
2255 E MAPLE AVE
EL SEGUNDO, CA 90245-6508
Phone number: 310-322-8777