Elena Marie Porter, DC | |
1129 Mellow Ln, Simi Valley, CA 93065-5704 | |
(805) 750-9161 | |
Not Available |
Full Name | Elena Marie Porter |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 15 Years |
Location | 1129 Mellow Ln, Simi Valley, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922325075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC-31635 (California) | Primary |
Provider Name | Dr. Porter Sports Chiropractic & Wellness Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770076796 PECOS PAC ID: 1355687401 Enrollment ID: O20190109003020 |
Mailing Address | Practice Location Address |
---|---|
Elena Marie Porter, DC 1129 Mellow Ln, Simi Valley, CA 93065-5704 Ph: (805) 750-9161 | Elena Marie Porter, DC 1129 Mellow Ln, Simi Valley, CA 93065-5704 Ph: (805) 750-9161 |
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