Mr. Russell D Seagal
Chiropractic Sports Physician
801 S Flower St Suite 204
Los Angeles
, California 90017-4625
Mr. Russell D Seagal
Chiropractic Sports Physician
801 S Flower St Suite 204
Los Angeles
, California 90017-4625
(818) 681-4889
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Mr. Russell D Seagal
- 26733 Oak Garden Ct
- Newhall, CA
- Zip : 91321-1434
- Phone : (818) 681-4889
Second Address
- Mr. Russell D Seagal
- 801 S Flower St Suite 204
- Los Angeles, CA
- Zip : 90017-4625
- Fax : (213) 623-9985
- Phone : (213) 481-7026
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Is Mr. Russell D Seagal a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 19979 | CA |
National Provider Identifier
| NPI | 1366651986 |
|---|---|
| Provider Name | Mr. Russell D Seagal |
| First Address | Newhall, CA 91321-1434 |
| Second Address | Los Angeles, CA 90017-4625 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/05/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.