MEDICARE: DR. HEATHER VALINSKY 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	111N00000X	Chiropractor	DC33409	CA

General Provider Information

NPI Number	:	1578007878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEATHER VALINSKY D.C.

Provider Business Mailing Address
First Line	:	1445 E LOS ANGELES AVE
Second Line	:	204
City	:	SIMI VALLEY
State	:	CA
Zip	:	93065-2817
Country	:	US
Telephone Number	:	818-800-1208
Fax Number	:	805-581-2536

Provider Business Practice Location Address
First Line	:	1445 E LOS ANGELES AVE
Second Line	:	204
City	:	SIMI VALLEY
State	:	CA
Zip	:	93065-2817
Country	:	US
Telephone Number	:	818-800-1208
Fax Number	:	805-581-2536

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

Provider Enumeration Date	:	12/06/2016
Last Update Date	:	12/06/2016

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