Provider Demographics
NPI:1760555718
Name:HOROWITZ, JOEL (DC)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:
Last Name:HOROWITZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:CIVIC
Other - Middle Name:CENTER
Other - Last Name:CHIROPRACTIC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:14421 SYLVAN ST
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-2649
Mailing Address - Country:US
Mailing Address - Phone:818-612-9987
Mailing Address - Fax:818-781-7070
Practice Address - Street 1:21740 DEVONSHIRE ST
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-2954
Practice Address - Country:US
Practice Address - Phone:818-998-1527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25339111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor