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: |