Provider Demographics
NPI:1437169984
Name:URKOV, DENISE MARIE (DC)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:MARIE
Last Name:URKOV
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MISS
Other - First Name:DENISE
Other - Middle Name:MARIE
Other - Last Name:GUTIERREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:8941 ATLANTA AVE
Mailing Address - Street 2:#316
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-7121
Mailing Address - Country:US
Mailing Address - Phone:714-842-6122
Mailing Address - Fax:714-375-2591
Practice Address - Street 1:8941 ATLANTA AVE
Practice Address - Street 2:#316
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92646-7121
Practice Address - Country:US
Practice Address - Phone:714-842-6122
Practice Address - Fax:714-375-2591
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2010-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25877111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor