Provider Demographics
NPI:1669546115
Name:PRESS, WAYNE (DC)
Entity type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:
Last Name:PRESS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:495 E LOS ANGELES AVE
Mailing Address - Street 2:STE 106
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-7706
Mailing Address - Country:US
Mailing Address - Phone:805-527-7246
Mailing Address - Fax:805-527-9648
Practice Address - Street 1:495 E LOS ANGELES AVE
Practice Address - Street 2:STE 106
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-7706
Practice Address - Country:US
Practice Address - Phone:805-527-7246
Practice Address - Fax:805-527-9648
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18197111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic