MEDICARE: DR. MICHAEL S. DE NAPOLI 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
1	111N00000X	Chiropractor	DC20563	CA

General Provider Information

NPI Number	:	1932127065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL S. DE NAPOLI D.C.

Provider Business Mailing Address
First Line	:	600 S LAKE AVE STE 104
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-3977
Country	:	US
Telephone Number	:	626-564-1605
Fax Number	:	626-683-8680

Provider Business Practice Location Address
First Line	:	600 S LAKE AVE STE 104
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-3977
Country	:	US
Telephone Number	:	626-564-1605
Fax Number	:	626-683-8680

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	10/16/2018

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