Provider Demographics
NPI:1750669446
Name:SZENTIVANYI, KRISTOF P (DC)
Entity Type:Individual
Prefix:DR
First Name:KRISTOF
Middle Name:P
Last Name:SZENTIVANYI
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 1:15247 W SUNSET BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-3624
Mailing Address - Country:US
Mailing Address - Phone:310-795-6455
Mailing Address - Fax:
Practice Address - Street 1:15247 W SUNSET BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:PACIFIC PALISADES
Practice Address - State:CA
Practice Address - Zip Code:90272-3624
Practice Address - Country:US
Practice Address - Phone:310-795-6455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-28
Last Update Date:2011-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29436111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor