Provider Demographics
NPI:1659405603
Name:NANIA, KARA SHEA (DC)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:SHEA
Last Name:NANIA
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 1:25200 CRENSHAW BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-6130
Mailing Address - Country:US
Mailing Address - Phone:310-530-8181
Mailing Address - Fax:310-530-9221
Practice Address - Street 1:25200 CRENSHAW BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-6130
Practice Address - Country:US
Practice Address - Phone:310-530-8181
Practice Address - Fax:310-530-9221
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28520111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor