Organization Active NPI

Teri Quetzal, D.C.

  • Chiropractor
  • Woodland Hills, CA
National Provider Identifier
1770910895
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TERI QUETZAL, D.C.
Practice address
20969 Ventura Blvd
Suite 222
Woodland Hills, CA 91364-2305
Phone
(818) 757-3131
NPI assigned
Oct 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Teri Quetzal, D.C.
Title
Secretary/Treasurer
Phone
(818) 757-3131

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Pediatric ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NP0017X
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

20969 Ventura Blvd
Suite 222
Woodland Hills, CA 91364-2305

Mailing address

20969 Ventura Blvd
Suite 221
Woodland Hills, CA 91364-2305
Phone (818) 757-3131

National Provider Directory

National Provider Directory

Locations

20969 Ventura Blvd
Ste 221
Woodland Hills, CA 91364

20969 Ventura Blvd
Ste 222
Woodland Hills, CA 91364
Phone (818) 757-3131

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1770910895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20969 VENTURA BLVD",
            "address_2": "SUITE 221",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642305",
            "telephone_number": "818-757-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20969 VENTURA BLVD",
            "address_2": "SUITE 222",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642305",
            "telephone_number": "818-757-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERI QUETZAL, D.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "QUETZAL",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "818-757-3131",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.