Provider Demographics
NPI:1811148943
Name:CLEVELAND, CHRISTOPHER MANUEL (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:MANUEL
Last Name:CLEVELAND
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 1:801 S FLOWER ST
Mailing Address - Street 2:SUITE# 204
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-4625
Mailing Address - Country:US
Mailing Address - Phone:213-481-7026
Mailing Address - Fax:213-623-9985
Practice Address - Street 1:801 S FLOWER ST
Practice Address - Street 2:SUITE# 204
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-4625
Practice Address - Country:US
Practice Address - Phone:213-481-7026
Practice Address - Fax:213-623-9985
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27977111NR0400X, 111NS0005X, 111NX0100X, 111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111NS0005XChiropractic ProvidersChiropractorSports Physician
No111NX0100XChiropractic ProvidersChiropractorOccupational Health