Healthcare Provider Details

I. General information

NPI: 1174749303
Provider Name (Legal Business Name): DANA LIAH ZAPPALA DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14445 VENTURA BLVD # 1.2
SHERMAN OAKS CA
91423-2606
US

IV. Provider business mailing address

14445 1.2 VENTURA BLVD
SHERMAN OAKS CA
91423-2680
US

V. Phone/Fax

Practice location:
  • Phone: 818-784-6367
  • Fax: 818-784-6368
Mailing address:
  • Phone: 818-784-6367
  • Fax: 818-784-6368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC18926
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: