Pendergraft, Ray Daniel

Pendergraft, Ray Daniel is an sole proprietor health care provider with primary practice located at 2512 Artesia Blvd Ste 230 , Redondo Beach CA 90278-3277. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Pendergraft, Ray Daniel can be contacted via phone (310) 793-9926.

Contact Information

Primary practice address
2512 Artesia Blvd Ste 230 Redondo Beach CA 90278-3277
Phone: (310) 793-9926
Fax: (310) 798-8710
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC12502 California

Profile Details

NPI number 1760480065
LBN Legal business name Pendergraft, Ray Daniel
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2005
Last updated Mar 23rd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760480065 NPPES
Arkansas Other RP51327 AMERICAN SPECIALTIES HEAL

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