Healthcare Provider Details

I. General information

NPI: 1396181574
Provider Name (Legal Business Name): AMANDA CODDINGTON D.C, L.AC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2013
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 S WESTLAKE BLVD STE 133
WESTLAKE VILLAGE CA
91361-1986
US

IV. Provider business mailing address

1240 S WESTLAKE BLVD STE 133
WESTLAKE VILLAGE CA
91361-1986
US

V. Phone/Fax

Practice location:
  • Phone: 714-989-3903
  • Fax:
Mailing address:
  • Phone: 714-989-3903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number32172
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: