Provider Demographics
NPI:1346618444
Name:YANI, RONI (DC)
Entity Type:Individual
Prefix:MR
First Name:RONI
Middle Name:
Last Name:YANI
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 1:2116 N GLENOAKS BLVD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-2807
Mailing Address - Country:US
Mailing Address - Phone:818-601-1922
Mailing Address - Fax:818-558-5613
Practice Address - Street 1:2116 N GLENOAKS BLVD
Practice Address - Street 2:SUITE #1
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91504-2807
Practice Address - Country:US
Practice Address - Phone:818-601-1922
Practice Address - Fax:818-558-5613
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-04
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33331111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor