Pepperdine University

NPI #1649661661 in Malibu, California

Provider Information

NPI Number
1649661661
Entity Type
Organization
Organization Name
Pepperdine University
Primary Specialty
Chiropractor - Sports Physician
Enumeration Date
Feb 12, 2015
Last Updated
Feb 12, 2015

Practice Location

Address
24255 PACIFIC COAST HWY
City
Malibu
ZIP Code
90263-3999
Phone
(310) 506-4602

Authorized Official

Name
MOUZON BASS III
Title
AGENT
Phone
18005559073

Specialties & Taxonomy Codes

Specialty
Chiropractor - Sports PhysicianSports Physician

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