Healthcare Provider Details

I. General information

NPI: 1730186107
Provider Name (Legal Business Name): ISABEL AMORIM D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4156 BALDWIN AVE
EL MONTE CA
91731-1708
US

IV. Provider business mailing address

4156 BALDWIN AVE
EL MONTE CA
91731-1708
US

V. Phone/Fax

Practice location:
  • Phone: 626-443-2450
  • Fax: 626-280-3092
Mailing address:
  • Phone: 626-443-2450
  • Fax: 626-280-3092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number17264
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: