Provider Demographics
NPI:1578824942
Name:STOKES, DONALD LEE (DC)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:LEE
Last Name:STOKES
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 1:7733 HENEFER AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-1140
Mailing Address - Country:US
Mailing Address - Phone:310-910-0238
Mailing Address - Fax:
Practice Address - Street 1:8632 S SEPULVEDA BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:WESTCHESTER
Practice Address - State:CA
Practice Address - Zip Code:90045-4015
Practice Address - Country:US
Practice Address - Phone:310-910-0238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-01
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15402111N00000X
GACHIR004856111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NX0100XChiropractic ProvidersChiropractorOccupational Health