Yaniv Jay Dvora Chiropractic Corp | |
2072 Tapo St, Simi Valley, CA 93063-3441 | |
(805) 584-1114 | |
(805) 584-3102 |
Full Name | Yaniv Jay Dvora Chiropractic Corp |
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Type | Facility |
Speciality | Chiropractor |
Location | 2072 Tapo St, Simi Valley, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053678912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC27909 (California) | Primary |
Provider Name | Yaniv J Dvora |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1225116775 PECOS PAC ID: 1153350780 Enrollment ID: I20050813000162 |
Mailing Address | Practice Location Address |
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Yaniv Jay Dvora Chiropractic Corp 2072 Tapo St, Simi Valley, CA 93063-3441 Ph: (805) 584-1114 | Yaniv Jay Dvora Chiropractic Corp 2072 Tapo St, Simi Valley, CA 93063-3441 Ph: (805) 584-1114 |
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