Provider Demographics
NPI:1457683716
Name:CAAMANO, JOHN J (DC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:J
Last Name:CAAMANO
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:PO BOX 55458
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91413-0458
Mailing Address - Country:US
Mailing Address - Phone:818-461-0790
Mailing Address - Fax:818-461-1879
Practice Address - Street 1:1711 W TEMPLE ST
Practice Address - Street 2:SUITE 4607
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-5421
Practice Address - Country:US
Practice Address - Phone:213-413-8418
Practice Address - Fax:213-413-8437
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-10
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22933111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor