Provider Demographics
NPI:1922374404
Name:MEDL, CLAUDIA KAROLINE (DC)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:KAROLINE
Last Name:MEDL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1627 GATES AVE
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-7028
Mailing Address - Country:US
Mailing Address - Phone:310-376-3404
Mailing Address - Fax:
Practice Address - Street 1:1627 GATES AVE
Practice Address - Street 2:
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-7028
Practice Address - Country:US
Practice Address - Phone:310-376-3404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16627111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition