Healthcare Provider Details

I. General information

NPI: 1124055652
Provider Name (Legal Business Name): HELLE LEAP D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21740 DEVONSHIRE ST
CHATSWORTH CA
91311-2954
US

IV. Provider business mailing address

21740 DEVONSHIRE ST
CHATSWORTH CA
91311-2954
US

V. Phone/Fax

Practice location:
  • Phone: 818-998-1527
  • Fax:
Mailing address:
  • Phone: 818-998-1527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number20666
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: