Provider Demographics
NPI:1578738217
Name:FURBEYRE, DIANE L (DC)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:L
Last Name:FURBEYRE
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 1:2955 MOORPARK RD
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-4568
Mailing Address - Country:US
Mailing Address - Phone:805-241-4194
Mailing Address - Fax:805-493-1854
Practice Address - Street 1:2955 MOORPARK RD
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-4568
Practice Address - Country:US
Practice Address - Phone:805-241-4194
Practice Address - Fax:805-493-1854
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC23253111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor