Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC19306 | CA |
NPI | 1003250580 |
---|---|
Provider Name | Paul Turley |
First Address | Granada Hills, CA 91344-2139 |
Second Address | Granada Hills, CA 91344-2139 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2013 |
Last Update Date | 10/01/2014 |