Provider Demographics
NPI:1144399312
Name:PEAR, DEBRA SUSAN (DC)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:SUSAN
Last Name:PEAR
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 1:17606 HAMLIN ST
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-5313
Mailing Address - Country:US
Mailing Address - Phone:310-467-2179
Mailing Address - Fax:
Practice Address - Street 1:1454 CLOVERFIELD BLVD
Practice Address - Street 2:SUITE 240
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2980
Practice Address - Country:US
Practice Address - Phone:310-315-4300
Practice Address - Fax:310-315-2135
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27946111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor