Provider Demographics
NPI:1922132430
Name:BEN DRILLINGS CHIROPRACTIC, INC
Entity Type:Organization
Organization Name:BEN DRILLINGS CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:SHULI
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVAV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-710-7985
Mailing Address - Street 1:22280 DEL VALLE ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-1515
Mailing Address - Country:US
Mailing Address - Phone:818-710-7985
Mailing Address - Fax:818-710-7988
Practice Address - Street 1:7620 LINDLEY AVE
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-2123
Practice Address - Country:US
Practice Address - Phone:818-344-3940
Practice Address - Fax:818-344-2807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC21672111N00000X
CADC23253111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ64186ZMedicare UPIN
CAZZZ64185ZMedicare UPIN