Healthcare Provider Details

I. General information

NPI: 1336315662
Provider Name (Legal Business Name): ROBERT BRUCE NORETT D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2008
Last Update Date: 05/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2142 VALENTINE ST
LOS ANGELES CA
90026-1930
US

IV. Provider business mailing address

2142 VALENTINE ST
LOS ANGELES CA
90026-1930
US

V. Phone/Fax

Practice location:
  • Phone: 323-663-8579
  • Fax: 866-267-1954
Mailing address:
  • Phone: 323-663-8579
  • Fax: 866-267-1954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number18566
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number18566
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: