Most Relevant Information
Provider Data
| NPI Number: | 1003019373 |
| Provider Name: | NICHOLAS D. KOUSOULIS D.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 30570 |
Most Important Dates
| Enumeration Date: | 06/06/2007 |
| Last Updated: | 02/03/2009 |
Provider Practice Location
1062 WESTWOOD BLVD
LOS ANGELES
CA
900242903
Practice Location Phone/Fax
| Phone: | 3102080101 |
| Fax: | 3235125228 |
Provider Mailing Location
1062 WESTWOOD BLVD
LOS ANGELES
CA
900242903
Provider Mailing Phone/Fax
| Phone: | 3102080101 |
| Fax: | 3235125228 |