MEDICARE: DAVID BRENER CHIROPRACTIC, CORP.

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	111NX0100X	Occupational Health Chiropractor	DC25313	CA

General Provider Information

NPI Number	:	1609935691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID BRENER CHIROPRACTIC, CORP.

Provider Business Mailing Address
First Line	:	5301 WHITTIER BLVD
Second Line	:	SUITE B
City	:	EAST LOS ANGELES
State	:	CA
Zip	:	90022-4038
Country	:	US
Telephone Number	:	818-974-6664
Fax Number	:	323-720-1117

Provider Business Practice Location Address
First Line	:	23679 CALABASAS RD
Second Line	:	75
City	:	CALABASAS
State	:	CA
Zip	:	91302-1502
Country	:	US
Telephone Number	:	818-974-6664
Fax Number	:	818-760-4081

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID BRENER
Credential	:	D.C.
Telephone Number	:	818-974-6664

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	08/22/2020

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