DR. KHALEED SAMUELS D.C. C.C.S.P - NPI 1265821672

Q: What is Khaleed Samuels's NPI number?

The NPI number for Khaleed Samuels is 1265821672. It was assigned to this individual provider in the NPPES registry on January 22, 2015.

Q: What is Khaleed Samuels's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Q: When was this NPI record last updated?

The NPPES record for Khaleed Samuels was last updated on October 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Khaleed Samuels D.c. C.c.s.p NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KHALEED SAMUELS D.C. C.C.S.P (NPI 1265821672) is an individual sports physician in San Pedro, California, licensed in California (DC33008) and active in the NPI registry since January 2015. He maintains a secondary practice location in Redondo Beach.

NPPES Registry Identity

NPI1265821672

Entity TypeIndividualMale

Primary Taxonomy111NS0005X

Provider Legal NameDR. KHALEED SAMUELSCredential: D.C. C.C.S.P

Location Address1423 W 8TH STSan Pedro, CA 90732-3803

Mailing Address28000 S Western Ave Unit 227San Pedro, CA 90732-1204 · (310) 684-1807 · Fax (310) 684-1607

Phone(310) 684-1807

Fax(310) 684-1607

Sole ProprietorYes

Enumeration DateJanuary 22, 2015

Last NPPES UpdateOctober 5, 20222 updates tracked since enumeration

NPPES CertifiedAugust 12, 2021

✔ NPI 1265821672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in CA · DC33008

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

Also ListedChiropractorTaxonomy 111N00000X · License DC33008 (CA)

1423 W 8TH ST, San Pedro, CA 90732

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Secondary Practice Location 1

Location 11911 S Catalina AveRedondo Beach, CA 90277-5515 · Phone (424) 304-2040

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMUELS CHIROPRACTIC HEALTH CORPORATION

Chiropractor (Sports Physician)