Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 22876 | CA |
NPI | 1225190390 |
---|---|
Provider Name | Dr. Steven J Tunnell |
First Address | Montrose, CA 91020-1132 |
Second Address | Sherman Oaks, CA 91423-5046 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2006 |
Last Update Date | 08/07/2007 |