Healthcare Provider Details
I. General information
NPI: 1912648692
Provider Name (Legal Business Name): WOOL-SMITH CHIROPRACTIC CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/05/2022
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
28245 AVENUE CROCKER STE 104
VALENCIA CA
91355-1201
US
IV. Provider business mailing address
PO BOX 571747
TARZANA CA
91357-1747
US
V. Phone/Fax
- Phone: 833-993-3900
- Fax: 888-551-5126
- Phone: 833-993-3900
- Fax: 888-551-5126
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ASHLEY
ALFRED
WOOL-SMITH
Title or Position: CEO
Credential: DC
Phone: 833-993-3900