Provider Demographics
NPI:1326403056
Name:RABADI, MAES VIOULA (DC)
Entity Type:Individual
Prefix:DR
First Name:MAES
Middle Name:VIOULA
Last Name:RABADI
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 1:16328 FAIRBANKS CT
Mailing Address - Street 2:
Mailing Address - City:CANYON COUNTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91387-4621
Mailing Address - Country:US
Mailing Address - Phone:661-244-7312
Mailing Address - Fax:
Practice Address - Street 1:16328 FAIRBANKS CT
Practice Address - Street 2:
Practice Address - City:CANYON COUNTRY
Practice Address - State:CA
Practice Address - Zip Code:91387-4621
Practice Address - Country:US
Practice Address - Phone:661-244-7312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-22
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33445111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor