Healthcare Provider Details

I. General information

NPI: 1821136599
Provider Name (Legal Business Name): MIYOSHI MAGALI FELICIANO D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6736 FRIENDS AVE
WHITTIER CA
90601-4432
US

IV. Provider business mailing address

7 PHEASANT RD
POMONA CA
91766-4733
US

V. Phone/Fax

Practice location:
  • Phone: 562-698-1275
  • Fax: 562-698-7127
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC23802
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: