Healthcare Provider Details

I. General information

NPI: 1447573589
Provider Name (Legal Business Name): ZONE HEALING HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2010
Last Update Date: 03/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17555 VENTURA BLVD STE 200
ENCINO CA
91316-3890
US

IV. Provider business mailing address

17555 VENTURA BLVD SUITE 200
ENCINO CA
91316-3890
US

V. Phone/Fax

Practice location:
  • Phone: 818-922-0535
  • Fax:
Mailing address:
  • Phone: 818-922-0535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberDC29437
License Number StateCA

VIII. Authorized Official

Name: DR. YOAV STEIN
Title or Position: DOCTOR
Credential: D.C.
Phone: 818-922-0535