Provider Demographics
NPI:1568473684
Name:HOMER, SHEILA JOY (DC)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:JOY
Last Name:HOMER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 GOLDEN SHORE
Mailing Address - Street 2:STE 220
Mailing Address - City:LB
Mailing Address - State:CA
Mailing Address - Zip Code:90802
Mailing Address - Country:US
Mailing Address - Phone:562-495-5898
Mailing Address - Fax:562-983-5454
Practice Address - Street 1:11 GOLDEN SHR
Practice Address - Street 2:STE 220
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-4214
Practice Address - Country:US
Practice Address - Phone:562-495-5898
Practice Address - Fax:562-983-5454
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC19154111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor