Provider Demographics
NPI:1912018896
Name:RIDDERHOF, ART F (DC)
Entity Type:Individual
Prefix:DR
First Name:ART
Middle Name:F
Last Name:RIDDERHOF
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 1:5810 BELLFLOWER BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90713-1058
Mailing Address - Country:US
Mailing Address - Phone:562-804-7172
Mailing Address - Fax:562-804-9101
Practice Address - Street 1:5810 BELLFLOWER BLVD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90713-1058
Practice Address - Country:US
Practice Address - Phone:562-804-7172
Practice Address - Fax:562-804-9101
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC14211111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor