Provider Demographics
NPI:1194904060
Name:WEXLER, HAROLD MARK (DC)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:MARK
Last Name:WEXLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5931 OAKDALE AVE
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-5619
Mailing Address - Country:US
Mailing Address - Phone:818-633-1138
Mailing Address - Fax:818-610-7210
Practice Address - Street 1:18856 ROSCOE BLVD
Practice Address - Street 2:B
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-6300
Practice Address - Country:US
Practice Address - Phone:818-700-9900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-29
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC12576111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor