Provider Demographics
NPI:1972174787
Name:STEVEN J TUNNELL A CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:STEVEN J TUNNELL A CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:TUNNELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-862-3779
Mailing Address - Street 1:4328 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CA
Mailing Address - Zip Code:91020-1132
Mailing Address - Country:US
Mailing Address - Phone:818-862-3779
Mailing Address - Fax:
Practice Address - Street 1:13425 VENTURA BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-3993
Practice Address - Country:US
Practice Address - Phone:818-862-3779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-03
Last Update Date:2021-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center