Provider Demographics
NPI:1225038425
Name:CIOFFI, MICHAEL JOHN (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOHN
Last Name:CIOFFI
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 1:9003 RESEDA BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-3920
Mailing Address - Country:US
Mailing Address - Phone:818-700-9900
Mailing Address - Fax:818-435-2714
Practice Address - Street 1:9003 RESEDA BLVD STE 110
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-3920
Practice Address - Country:US
Practice Address - Phone:818-700-9900
Practice Address - Fax:818-435-2714
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-28
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27320111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU98658Medicare UPIN
CADC27320Medicare ID - Type Unspecified