Provider Demographics
NPI:1407876394
Name:CHENAUR, LINDA M (DC)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:M
Last Name:CHENAUR
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 1:25060 AVENUE STANFORD #290
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91325-0984
Mailing Address - Country:US
Mailing Address - Phone:661-799-0644
Mailing Address - Fax:661-799-0652
Practice Address - Street 1:25060 AVENUE STANFORD #290
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91325-0984
Practice Address - Country:US
Practice Address - Phone:661-799-0644
Practice Address - Fax:661-799-0652
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21920111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU46629Medicare UPIN