Provider Demographics
NPI:1629071410
Name:WRIGHT, DON P (DC)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:P
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13746 VICTORY BLVD
Mailing Address - Street 2:201
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-6716
Mailing Address - Country:US
Mailing Address - Phone:818-988-3341
Mailing Address - Fax:818-988-3343
Practice Address - Street 1:13746 VICTORY BLVD
Practice Address - Street 2:201
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-6716
Practice Address - Country:US
Practice Address - Phone:818-988-3341
Practice Address - Fax:818-988-3343
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-24
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29387111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC29387OtherLICENSE
DC29387Medicare ID - Type Unspecified
V03804Medicare UPIN