Provider Demographics
NPI:1326220914
Name:CLEMANN, DOROTHY M (DC)
Entity Type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:M
Last Name:CLEMANN
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 1:8454 SAMRA DR
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91304-3214
Mailing Address - Country:US
Mailing Address - Phone:818-710-7210
Mailing Address - Fax:
Practice Address - Street 1:22110 ROSCOE BLVD
Practice Address - Street 2:#304
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91304-3845
Practice Address - Country:US
Practice Address - Phone:818-710-7210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10829111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor