Provider Demographics
NPI:1477709384
Name:EMARD, ROBERT LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LEE
Last Name:EMARD
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 1:6740 FALLBROOK AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-3936
Mailing Address - Country:US
Mailing Address - Phone:818-700-1314
Mailing Address - Fax:818-932-9910
Practice Address - Street 1:6740 FALLBROOK AVE STE 105
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-3936
Practice Address - Country:US
Practice Address - Phone:818-700-1314
Practice Address - Fax:818-932-9910
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 14015111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor