Provider Demographics
NPI:1225394729
Name:COBEY, TANYA S (DC)
Entity Type:Individual
Prefix:DR
First Name:TANYA
Middle Name:S
Last Name:COBEY
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 1:20720 VENTURA BLVD STE 240
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-6264
Mailing Address - Country:US
Mailing Address - Phone:818-704-5121
Mailing Address - Fax:818-704-5847
Practice Address - Street 1:20720 VENTURA BLVD STE 240
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-6264
Practice Address - Country:US
Practice Address - Phone:818-704-2512
Practice Address - Fax:818-704-5847
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-09
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32262111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor