Timothy R Campbell Chiropractic Center, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

DC14326 Issued in CA

Legal business name

TIMOTHY R CAMPBELL CHIROPRACTIC CENTER, INC

Practice address

4419 Van Nuys Blvd.
Suite 200
Sherman Oaks, CA 91403

Phone

(818) 783-5025

NPI assigned

Sep 12, 2012

Organization subpart

Yes

Parent organization

TIMOTHY R CAMPBELL CHIROPRACTIC CENTER, INCAs reported in NPPES

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

Authorized official

Name

Dr. Timothy R Campbell, D.C.

Title

Owner

Phone

(818) 783-5025

Specialties & licenses 1

Addresses

Part of

Timothy Campbell Chiro CNTR

Locations

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1821348327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 VAN NUYS BLVD.",
            "address_2": "SUITE 200",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91403",
            "telephone_number": "818-783-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 VAN NUYS BLVD.",
            "address_2": "SUITE 200",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91403",
            "telephone_number": "818-783-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY R CAMPBELL CHIROPRACTIC CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TIMOTHY R CAMPBELL CHIROPRACTIC CENTER, INC",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-783-5025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "DC14326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roya Tiarraz, LMFT
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• Yolanda Mae Tobin

• Clinic/Center in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.