C.w. Klishevich

NPI #1245458272 in Marina Del Rey, California

Provider Information

NPI Number: 1245458272
Entity Type: Organization
Organization Name: C.w. Klishevich
Primary Specialty: Chiropractor
Enumeration Date: Apr 23, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 4560 ADMIRALTY WAY
Address 2: STE 302
City: Marina Del Rey
State: California
ZIP Code: 90292-5423
Phone: (310) 348-0500

Authorized Official

Name: STEVEN GARRETT
Title: BILLING MANAGER
Phone: (310) 348-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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