Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 18197 | CA |
NPI | 1669546115 |
---|---|
Provider Name | Dr. Wayne Press |
First Address | Simi Valley, CA 93065-7706 |
Second Address | Simi Valley, CA 93065-7706 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2006 |
Last Update Date | 08/07/2007 |