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NPI Code Detail

MEDICARE: LUZAN MADAIN D.C.

MEDICARE: LUZAN MADAIN D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorDC27810CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DC27810OTHERCACHIROPRATIC LICENSE

General Provider Information

NPI Number : 1144269549
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUZAN MADAIN D.C.
Provider Business Mailing Address
First Line : 9670 PASO ROBLES AVE
Second Line :
City : NORTHRIDGE
State : CA
Zip : 91325-1964
Country : US
Telephone Number : 661-424-0900
Fax Number : 661-424-0924
Provider Business Practice Location Address
First Line : 18520 VIA PRINCESSA
Second Line : SUITE C-2
City : CANYON COUNTRY
State : CA
Zip : 91387-8326
Country : US
Telephone Number : 661-424-0900
Fax Number : 661-424-0924
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2006
Last Update Date : 07/08/2007

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Directions to “ LUZAN MADAIN D.C.” Practice Location

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