Provider Demographics
NPI:1477817195
Name:MENSAH, MICHAEL ASI (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ASI
Last Name:MENSAH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 69875
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90069-0875
Mailing Address - Country:US
Mailing Address - Phone:310-945-6097
Mailing Address - Fax:310-691-5226
Practice Address - Street 1:1483 HAVENHURST DR
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-3814
Practice Address - Country:US
Practice Address - Phone:310-945-6097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-27
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 32232111NS0005X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician