1154566891 NPI number — DR. LUIGI NARCISO DI GIULIO D.C.

Table of content: DR. LUIGI NARCISO DI GIULIO D.C. (NPI 1154566891)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154566891 NPI number — DR. LUIGI NARCISO DI GIULIO D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DI GIULIO
Provider First Name:
LUIGI
Provider Middle Name:
NARCISO
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DIGIULIO
Provider Other First Name:
LUIGINO
Provider Other Middle Name:
NARCISO
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
D.C.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1154566891
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/10/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
406 S GLENOAKS BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BURBANK
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91502-1419
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-842-2002
Provider Business Mailing Address Fax Number:
818-842-2002

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
406 S GLENOAKS BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BURBANK
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91502-1419
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-842-2002
Provider Business Practice Location Address Fax Number:
818-842-2002
Provider Enumeration Date:
12/10/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  DC21297 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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