MEDICARE: DANIEL C FLURRY DC A PROFESSIONAL CORPORATION

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
1	111N00000X	Chiropractor	DC21687	CA

General Provider Information

NPI Number	:	1306987391
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL C FLURRY DC A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	28310 ROADSIDE DR
Second Line	:	SUITE 130
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-2669
Country	:	US
Telephone Number	:	818-707-8889
Fax Number	:	818-707-8891

Provider Business Practice Location Address
First Line	:	28310 ROADSIDE DR
Second Line	:	SUITE 130
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-2669
Country	:	US
Telephone Number	:	818-707-8889
Fax Number	:	818-707-8891

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DANIEL C FLURRY
Credential	:	D.C.
Telephone Number	:	818-707-8889

Provider Enumeration Date	:	02/11/2007
Last Update Date	:	08/22/2020

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