Provider Demographics
NPI:1164649901
Name:TERMINI, JOHN MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MICHAEL
Last Name:TERMINI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16933 PARTHENIA ST STE 112
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91343-4570
Mailing Address - Country:US
Mailing Address - Phone:818-341-5433
Mailing Address - Fax:818-341-5439
Practice Address - Street 1:16933 PARTHENIA ST STE 112
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91343-4570
Practice Address - Country:US
Practice Address - Phone:818-341-5433
Practice Address - Fax:818-341-5439
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20005111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU35234Medicare UPIN
CADC20005Medicare PIN