Provider Demographics
NPI:1154489292
Name:OREL, YELENA (DC)
Entity Type:Individual
Prefix:DR
First Name:YELENA
Middle Name:
Last Name:OREL
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 1:17815 VENTURA BLVD
Mailing Address - Street 2:STE 207
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-3650
Mailing Address - Country:US
Mailing Address - Phone:818-783-0501
Mailing Address - Fax:818-783-0502
Practice Address - Street 1:16661 VENTURA BLVD STE 206
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1923
Practice Address - Country:US
Practice Address - Phone:818-783-0501
Practice Address - Fax:818-783-0502
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 28146111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC 28146Medicaid
CADC 28146Medicaid
CAU 91429Medicare UPIN