Provider Demographics
NPI:1932127065
Name:DE NAPOLI, MICHAEL S (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:S
Last Name:DE NAPOLI
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 1:600 S LAKE AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-3977
Mailing Address - Country:US
Mailing Address - Phone:626-564-1605
Mailing Address - Fax:626-683-8680
Practice Address - Street 1:600 S LAKE AVE STE 104
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-3977
Practice Address - Country:US
Practice Address - Phone:626-564-1605
Practice Address - Fax:626-683-8680
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC20563111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC20563AMedicare UPIN