Healthcare Provider Details

I. General information

NPI: 1326073149
Provider Name (Legal Business Name): DAVID L ESUDRI D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 04/17/2023
Certification Date: 04/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 CANOGA AVE STE 333
WOODLAND HILLS CA
91367-2492
US

IV. Provider business mailing address

6400 CANOGA AVE STE 333
WOODLAND HILLS CA
91367-2492
US

V. Phone/Fax

Practice location:
  • Phone: 818-710-0800
  • Fax: 818-396-3168
Mailing address:
  • Phone: 818-710-0800
  • Fax: 818-393-3168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC26546
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: