Healthcare Provider Details

I. General information

NPI: 1992961700
Provider Name (Legal Business Name): OREL CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2008
Last Update Date: 05/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17815 VENTURA BLVD STE 207
ENCINO CA
91316-3650
US

IV. Provider business mailing address

17815 VENTURA BLVD SUITE 207
ENCINO CA
91316-3650
US

V. Phone/Fax

Practice location:
  • Phone: 818-705-0501
  • Fax: 818-705-0502
Mailing address:
  • Phone: 818-705-0501
  • Fax: 818-705-0502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License NumberDC 28146
License Number StateCA

VIII. Authorized Official

Name: YELENA OREL
Title or Position: CHIROPRACTIOR / PRESIDENT
Credential: D.C.
Phone: 818-705-0501