MEDICARE: YANITSHA M. FELICIANO, D.C. INC.

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	111NX0800X	Orthopedic Chiropractor	DC18401	CA

General Provider Information

NPI Number	:	1730227422
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YANITSHA M. FELICIANO, D.C. INC.

Provider Business Mailing Address
First Line	:	18 BRENTANO DR
Second Line	:
City	:	COTO DE CAZA
State	:	CA
Zip	:	92679-4918
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6736 FRIENDS AVE
Second Line	:
City	:	WHITTIER
State	:	CA
Zip	:	90601-4432
Country	:	US
Telephone Number	:	562-698-1275
Fax Number	:	562-698-7127

Authorized Official
Title or Position	:	CEO
Name	:	DR. YANITSHA M FELICIANO
Credential	:	D.C., D.A.B.C.O.
Telephone Number	:	562-698-1275

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	04/30/2008

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