Provider Demographics
NPI:1467787143
Name:REINHERZ, IRA M (DC)
Entity Type:Individual
Prefix:DR
First Name:IRA
Middle Name:M
Last Name:REINHERZ
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 1:120 N ALVARADO ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-5303
Mailing Address - Country:US
Mailing Address - Phone:213-353-0200
Mailing Address - Fax:213-353-0266
Practice Address - Street 1:120 N ALVARADO ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-5303
Practice Address - Country:US
Practice Address - Phone:213-353-0200
Practice Address - Fax:213-353-0266
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-13
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18605111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor