Healthcare Provider Details

I. General information

NPI: 1588295950
Provider Name (Legal Business Name): CHRISTIAN PINTO DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2020
Last Update Date: 02/03/2020
Certification Date: 02/03/2020
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

6705 ORION AVE
VAN NUYS CA
91406-6317
US

V. Phone/Fax

Practice location:
  • Phone: 818-703-8480
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number34483
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: