Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC27791 | CA |
N | 111NN1001X | Nutrition | DC27791 | CA |
N | 111NS0005X | Chiropractic Sports Physician | DC27791 | CA |
NPI | 1326039207 |
---|---|
Provider Name | Dr. Ilanit Henn |
First Address | Encino, CA 91316-3402 |
Second Address | Tarzana, CA 91335-6812 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2005 |
Last Update Date | 26/12/2018 |