Provider Demographics
NPI:1467510073
Name:TRABISH, HERMAN KATZMAN (DC)
Entity Type:Individual
Prefix:DR
First Name:HERMAN
Middle Name:KATZMAN
Last Name:TRABISH
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 1:2763 MARY ST
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENTA
Mailing Address - State:CA
Mailing Address - Zip Code:91214-3533
Mailing Address - Country:US
Mailing Address - Phone:818-248-7476
Mailing Address - Fax:
Practice Address - Street 1:2763 MARY ST
Practice Address - Street 2:
Practice Address - City:LA CRESCENTA
Practice Address - State:CA
Practice Address - Zip Code:91214-3533
Practice Address - Country:US
Practice Address - Phone:818-248-7476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC19305111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC19305BMedicare ID - Type Unspecified