Provider Demographics
NPI:1710134127
Name:BERNSTEIN, MATTHEW DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:DAVID
Last Name:BERNSTEIN
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 1:22554 VENTURA BLVD
Mailing Address - Street 2:130
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-1413
Mailing Address - Country:US
Mailing Address - Phone:818-222-1120
Mailing Address - Fax:818-222-1138
Practice Address - Street 1:22554 VENTURA BLVD
Practice Address - Street 2:#130
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-1413
Practice Address - Country:US
Practice Address - Phone:818-222-1120
Practice Address - Fax:818-222-1138
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-27
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30985111N00000X
CADC30985111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor