Dilojan Prasanna Abayaratna, D.C.
Individual provider Active NPI Chiropractor · Los Angeles, CA
NPI 1659312957 · NPPES record last updated Nov 5, 2008
Key facts
- NPI
- 1659312957
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC27376 (CA)
- Practice address
- 8713 La Tijera Blvd
Los Angeles, CA 90045-3906 - Phone
- (310) 645-1485
- Fax
- (310) 645-5608
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050706000635 | CA | Practitioner - Chiropractic | 3577509033 | Practice locations: Los Angeles, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC27376 | CA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC27376 | CA | Yes |
Addresses
Primary practice location
8713 La Tijera Blvd
Los Angeles, CA 90045-3906
Mailing address
8713 La Tijera Blvd
Los Angeles, CA 90045-3906
Phone (310) 645-1485
Other providers in Los Angeles, CA
- Ellain Mae Abarquez Abatayo
- Miriam Abaunza
- John Abaya
- Rosette Abayahoudian
- Andrew Abayan
- Oluwakemi Aminat Abayomi
- Rahgi Abaza
- Ghazal Lovely Abbas
- Raja Abbas
- Afshan Roohi Abbasi
All providers in Los Angeles, CA · Chiropractor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.