Most Relevant Information
Provider Data
| NPI Number: | 1003288846 |
| Provider Name: | TRAIG TY TRUMBO D.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | DC20823 |
Most Important Dates
| Enumeration Date: | 10/20/2015 |
| Last Updated: | 12/02/2016 |
Provider Practice Location
12519 SUNSET BLVD
SUITE 203
PACIFIC PALISADES
CA
90272
Practice Location Phone/Fax
| Phone: | 4242348496 |
| Fax: |
Provider Mailing Location
12519 SUNSET BLVD. #203
PACIFIC PALISADES
CA
90272
Provider Mailing Phone/Fax
| Phone: | 4242348496 |
| Fax: |