Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHN B CHEBULTZ, M.A.
Active Sole ProprietorMR. JOHN B CHEBULTZ, M.A. is a Athletic Trainer healthcare provider located in W LOS ANGELES, California. NPI 1083809354 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · W LOS ANGELES, CA
Registration Details
- NPI Number
- 1083809354
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 10, 2007 (18.889368881485 yrs)
- Last Updated
- Sep 10, 2007
- License
-
46038 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12304 SANTA MONICA BLVDSUITE 300W LOS ANGELES, CA, 900252551Browse CA providers · Browse ZIP 90025
- Phone
- 3102881650
- Primary Specialty
-
Athletic Trainer
225500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.