Provider Demographics
NPI:1467665836
Name:SANDLOW, ARNOLD (DC)
Entity type:Individual
Prefix:
First Name:ARNOLD
Middle Name:
Last Name:SANDLOW
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 1:719 N FAIRFAX AVE STE A
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90046-7274
Mailing Address - Country:US
Mailing Address - Phone:323-653-7519
Mailing Address - Fax:323-653-8637
Practice Address - Street 1:719 N FAIRFAX AVE STE A
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-7274
Practice Address - Country:US
Practice Address - Phone:323-653-7519
Practice Address - Fax:323-653-8637
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC13867111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor