Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | DC19698 | CA |
NPI | 1316079841 |
---|---|
Provider Name | Dr. Eric Badener |
First Address | Santa Monica, CA 90403-4621 |
Second Address | Santa Monica, CA 90403-4621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2007 |
Last Update Date | 08/07/2007 |