Provider Demographics
NPI:1205912169
Name:JUNNILA, RICK D (DC)
Entity type:Individual
Prefix:DR
First Name:RICK
Middle Name:D
Last Name:JUNNILA
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 1:5351 NEROLY RD.
Mailing Address - Street 2:B
Mailing Address - City:OAKLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94561
Mailing Address - Country:US
Mailing Address - Phone:925-978-2225
Mailing Address - Fax:925-978-2229
Practice Address - Street 1:5351 NEROLY RD., STE. B
Practice Address - Street 2:
Practice Address - City:OAKLEY
Practice Address - State:CA
Practice Address - Zip Code:94561
Practice Address - Country:US
Practice Address - Phone:925-978-2225
Practice Address - Fax:925-978-2229
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA22554111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor