Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NX0800X | Chiropractor Orthopedic Specialist | 32023 | CA |
Y | 175F00000X | Naturopath | ND-483 | CA |
NPI | 1306153705 |
---|---|
Provider Name | Dr. Joshua David Chrystal |
First Address | Sherman Oaks, CA 91403-2109 |
Second Address | Sherman Oaks, CA 91403-2109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2010 |
Last Update Date | 10/02/2012 |