Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC16886 | CA |
N | 111NI0013X | Independent Medical Examiner | DC16886 | CA |
N | 111NX0800X | Chiropractor Orthopedic Specialist | DC16886 | CA |
NPI | 1124340997 |
---|---|
Provider Name | Michael James Stahl |
First Address | West Hills, CA 91307-1472 |
Second Address | West Hills, CA 91307-1472 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2010 |
Last Update Date | 22/02/2010 |