Provider Demographics
NPI:1659447225
Name:BRATMAN, CHERYL JOY (DC)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:JOY
Last Name:BRATMAN
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 1:3764 MOORE ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-3533
Mailing Address - Country:US
Mailing Address - Phone:310-397-5329
Mailing Address - Fax:310-397-5329
Practice Address - Street 1:3764 MOORE ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-3533
Practice Address - Country:US
Practice Address - Phone:310-397-5329
Practice Address - Fax:310-397-5329
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC16279111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor