Provider Demographics
NPI:1285432807
Name:NATHAN, ELANA LESLIE (DC)
Entity type:Individual
Prefix:DR
First Name:ELANA
Middle Name:LESLIE
Last Name:NATHAN
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17945 TOPHAM ST
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-7125
Mailing Address - Country:US
Mailing Address - Phone:626-235-9776
Mailing Address - Fax:
Practice Address - Street 1:13949 VENTURA BLVD STE 215
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-5735
Practice Address - Country:US
Practice Address - Phone:626-235-9776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19711111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor