Provider Demographics
NPI:1437409810
Name:JOSEPH L. DUMOVIC, DC, ND, INC, PS
Entity Type:Organization
Organization Name:JOSEPH L. DUMOVIC, DC, ND, INC, PS
Other - Org Name:DUMOVIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:DUMOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:206-244-5216
Mailing Address - Street 1:2980 N BEVERLY GLEN CIRCLE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LOS ANGLES
Mailing Address - State:CA
Mailing Address - Zip Code:90077
Mailing Address - Country:US
Mailing Address - Phone:310-474-9809
Mailing Address - Fax:
Practice Address - Street 1:3480 S 152ND ST
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188
Practice Address - Country:US
Practice Address - Phone:206-244-5216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOSEPH L. DUMOVIC, DC, ND, INC, PS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site