Provider Demographics
NPI:1013553544
Name:NORI, NINA (DC)
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:
Last Name:NORI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 ROLLING OAKS DR STE 250
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91361-1087
Mailing Address - Country:US
Mailing Address - Phone:708-289-8014
Mailing Address - Fax:
Practice Address - Street 1:325 ROLLING OAKS DR STE 250
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91361-1087
Practice Address - Country:US
Practice Address - Phone:805-230-1199
Practice Address - Fax:805-230-2134
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34667111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA34667OtherINSURANCE PLANS