Provider Demographics
NPI:1538321849
Name:ISMAT EL-SOUKI CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:ISMAT EL-SOUKI CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/ CHIEF EXECUTIVE
Authorized Official - Prefix:DR
Authorized Official - First Name:ISMAT
Authorized Official - Middle Name:D
Authorized Official - Last Name:EL-SOUKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:323-724-3777
Mailing Address - Street 1:12614 SPARWOOD LN
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-2526
Mailing Address - Country:US
Mailing Address - Phone:562-713-2817
Mailing Address - Fax:323-724-9147
Practice Address - Street 1:709 W BEVERLY BLVD
Practice Address - Street 2:SUITE #203
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-3600
Practice Address - Country:US
Practice Address - Phone:323-724-3777
Practice Address - Fax:323-724-9147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-27
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC21956111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty