Provider Demographics
NPI:1184014581
Name:KLEINBART SYNERGISTIC CHIROPRACTIC INC
Entity Type:Organization
Organization Name:KLEINBART SYNERGISTIC CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEINBART
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:323-578-4068
Mailing Address - Street 1:453 S SPRING ST STE 1134
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90013-2016
Mailing Address - Country:US
Mailing Address - Phone:323-578-4068
Mailing Address - Fax:
Practice Address - Street 1:453 S SPRING ST STE 1134
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90013-2016
Practice Address - Country:US
Practice Address - Phone:323-578-4068
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-23
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC31557111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty