Healthcare Provider Details

I. General information

NPI: 1831353358
Provider Name (Legal Business Name): YANITSHA FELICIANO D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2008
Last Update Date: 07/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6736 FRIENDS AVE
WHITTIER CA
90601-4432
US

IV. Provider business mailing address

6736 FRIENDS AVE
WHITTIER CA
90601-4432
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberDC18401
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: