Individual provider · Type 1 NPI
Bruce Shannahoff, DC
Chiropractor · Encino, CA
NPI number
1083736854
Active
Practice location
5363 Balboa Blvd Ste 430
Encino, CA 91316-2837
Fax (253) 390-2518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 15683 (CA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1083736854
Bruce Shannahoff, DC's National Provider Identifier is 1083736854, issued on Apr 4, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Encino, CA. The record was last updated on Jul 8, 2007.