Healthcare Provider Details
I. General information
NPI: 1720213325
Provider Name (Legal Business Name): MATTHEW HAROLD EURICH D.C., D.A.C.B.R
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/27/2009
Last Update Date: 05/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16200 E. AMBER VALLEY DR.
WHITTIER CA
90604
US
IV. Provider business mailing address
16200 E. AMBER VALLEY DR.
WHITTIER CA
90604
US
V. Phone/Fax
- Phone: 562-947-8755
- Fax:
- Phone: 562-947-8755
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NR0200X |
| Taxonomy | Radiology Chiropractor |
| License Number | 29431 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: