Provider Demographics
NPI:1922206879
Name:WECHSLER, MINDY A (DC)
Entity Type:Individual
Prefix:DR
First Name:MINDY
Middle Name:A
Last Name:WECHSLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6511 LINDENHURST AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-4733
Mailing Address - Country:US
Mailing Address - Phone:323-791-1002
Mailing Address - Fax:323-937-1168
Practice Address - Street 1:6511 LINDENHURST AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-4733
Practice Address - Country:US
Practice Address - Phone:323-791-1002
Practice Address - Fax:323-937-1168
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14275111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor