1922132430 NPI number — BEN DRILLINGS CHIROPRACTIC, INC

Table of content: (NPI 1922132430)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922132430 NPI number — BEN DRILLINGS CHIROPRACTIC, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BEN DRILLINGS CHIROPRACTIC, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922132430
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
22280 DEL VALLE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WOODLAND HILLS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91364-1515
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-710-7985
Provider Business Mailing Address Fax Number:
818-710-7988

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7620 LINDLEY AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RESEDA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91335-2123
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-344-3940
Provider Business Practice Location Address Fax Number:
818-344-2807
Provider Enumeration Date:
03/15/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LEVAV
Authorized Official First Name:
SHULI
Authorized Official Middle Name:
Authorized Official Title or Position:
BILLING
Authorized Official Telephone Number:
818-710-7985

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  DC21672 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 111N00000X , with the licence number: DC23253 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





Copyright © 2007-2025 www.npivalidator.com