Provider Demographics
NPI:1609978923
Name:PRESS, HENRY (DC)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:
Last Name:PRESS
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:PO BOX 4918
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91359-1918
Mailing Address - Country:US
Mailing Address - Phone:818-889-5484
Mailing Address - Fax:818-874-0823
Practice Address - Street 1:31848 VILLAGE CENTER RD
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-4315
Practice Address - Country:US
Practice Address - Phone:818-889-5484
Practice Address - Fax:818-874-0823
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC011793111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC011793OtherD.C. LICENSE NUMBER