Provider Demographics
NPI:1821245374
Name:LEVITZ, JOEL ADIV (DC)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:ADIV
Last Name:LEVITZ
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:PO BOX 1856
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93011-1856
Mailing Address - Country:US
Mailing Address - Phone:805-312-6439
Mailing Address - Fax:805-832-6176
Practice Address - Street 1:380 MOBIL AVE
Practice Address - Street 2:STE 218-E
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-6311
Practice Address - Country:US
Practice Address - Phone:805-312-6439
Practice Address - Fax:805-832-6176
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30992111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor