Healthcare Provider Details

I. General information

NPI: 1790856631
Provider Name (Legal Business Name): STEVEN MICHALE BUELL DOCTOR OF CHIROPRACT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6305 S GREENLEAF AVE
WHITTIER CA
90601
US

IV. Provider business mailing address

6305 S GREENLEAF AVE PO BOX 800
WHITTIER CA
90601
US

V. Phone/Fax

Practice location:
  • Phone: 562-693-7929
  • Fax: 562-947-6275
Mailing address:
  • Phone: 562-693-7929
  • Fax: 562-947-6275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC16286
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: