Provider Demographics
NPI:1811060916
Name:PADVEEN, CAPPI AND WIENER CHIROPRACTIC CORPORATION
Entity type:Organization
Organization Name:PADVEEN, CAPPI AND WIENER CHIROPRACTIC CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:CAPPI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:661-259-2211
Mailing Address - Street 1:23360 VALENCIA BLVD
Mailing Address - Street 2:SUITE R
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-1700
Mailing Address - Country:US
Mailing Address - Phone:661-259-2211
Mailing Address - Fax:661-253-0814
Practice Address - Street 1:23360 VALENCIA BLVD
Practice Address - Street 2:SUITE R
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-1700
Practice Address - Country:US
Practice Address - Phone:661-259-2211
Practice Address - Fax:661-253-0814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20935111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty