Provider Demographics
NPI:1326267782
Name:ENIERGA, MICHELE G (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:G
Last Name:ENIERGA
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 1:3730 E. PACIFIC COAST HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804
Mailing Address - Country:US
Mailing Address - Phone:562-895-4906
Mailing Address - Fax:562-728-0993
Practice Address - Street 1:3730 E. PACIFIC COAST HIGHWAY
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804
Practice Address - Country:US
Practice Address - Phone:562-895-4906
Practice Address - Fax:562-728-0993
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-30483111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor