Provider Demographics
NPI:1861682254
Name:ARVIZU, ANELIM URSULA (DC)
Entity Type:Individual
Prefix:MRS
First Name:ANELIM
Middle Name:URSULA
Last Name:ARVIZU
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:ANELIM
Other - Middle Name:URSULA
Other - Last Name:MOSCOSO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13949 VENTURA BLVD STE 215
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-5735
Mailing Address - Country:US
Mailing Address - Phone:818-285-4242
Mailing Address - Fax:818-284-4244
Practice Address - Street 1:13949 VENTURA BLVD STE 215
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-5735
Practice Address - Country:US
Practice Address - Phone:818-285-4242
Practice Address - Fax:818-285-4244
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-31
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28988111N00000X
CA28988111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor