Maria-Magdalena Nikolaeva Tchernogorova, DC
Chiropractor in West Hollywood, CA. Individual provider (NPI-1).
NPI number1013672385
StatusActive
Last updated in NPPESNov 2, 2021
Details
- NPI
- 1013672385
- Entity type
- Individual (NPI-1)
- Name
- Maria-Magdalena Nikolaeva Tchernogorova
- Credential
- DC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2021
- Certification date
- Nov 2, 2021
- Last updated
- Nov 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | DC35082 | CA | Yes |
Practice location
8472 Melrose PlWest Hollywood, CA 90069-5308
Phone 702-403-3607
Mailing address
13914 Bora Bora Way Apt 122Marina Del Rey, CA 90292-6837
Phone 702-403-3607
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