Provider Demographics
NPI:1730645433
Name:ERIK ANDERSON CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:ERIK ANDERSON CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:KNUTE
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:310-647-7726
Mailing Address - Street 1:3217 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-3858
Mailing Address - Country:US
Mailing Address - Phone:310-647-7726
Mailing Address - Fax:
Practice Address - Street 1:3217 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-3858
Practice Address - Country:US
Practice Address - Phone:310-647-7726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ERIK ANDERSON CHRIOPRACTIC , INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-18
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty