MEDICARE: PAMELA STALZER DC

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	DC15261	CA

General Provider Information

NPI Number	:	1851503965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA STALZER DC

Provider Business Mailing Address
First Line	:	23111 VENTURA BLVD STE 203
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-1159
Country	:	US
Telephone Number	:	818-223-8702
Fax Number	:	818-223-8790

Provider Business Practice Location Address
First Line	:	23111 VENTURA BLVD STE 203
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-1159
Country	:	US
Telephone Number	:	818-223-8702
Fax Number	:	818-223-8790

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

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	07/09/2007

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