Healthcare Provider Details

I. General information

NPI: 1427246404
Provider Name (Legal Business Name): DAVID NEHORAI D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2007
Last Update Date: 10/04/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 W TEHACHAPI BLVD SUITE C
TEHACHAPI CA
93561-1686
US

IV. Provider business mailing address

777 W TEHACHAPI BLVD SUITE C
TEHACHAPI CA
93561-1686
US

V. Phone/Fax

Practice location:
  • Phone: 661-823-9144
  • Fax: 661-823-9144
Mailing address:
  • Phone: 661-823-9144
  • Fax: 661-823-9144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC27273
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: