MEDICARE: DR. YELENA OREL D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NI0900X	Internist Chiropractor	DC 28146	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154489292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YELENA OREL D.C.

Provider Business Mailing Address
First Line	:	17815 VENTURA BLVD
Second Line	:	STE 207
City	:	ENCINO
State	:	CA
Zip	:	91316-3650
Country	:	US
Telephone Number	:	818-783-0501
Fax Number	:	818-783-0502

Provider Business Practice Location Address
First Line	:	16661 VENTURA BLVD STE 206
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91436-1923
Country	:	US
Telephone Number	:	818-783-0501
Fax Number	:	818-783-0502

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	01/28/2016

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