Provider Demographics
NPI:1306060629
Name:PAPENHAGEN, TED ARNOLD II (DC)
Entity type:Individual
Prefix:DR
First Name:TED
Middle Name:ARNOLD
Last Name:PAPENHAGEN
Suffix:II
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 1:4820 COLDWATER CANYON AVE APT 202
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-2289
Mailing Address - Country:US
Mailing Address - Phone:323-788-7238
Mailing Address - Fax:
Practice Address - Street 1:5348 TOPANGA CANYON BLVD STE 106
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-1739
Practice Address - Country:US
Practice Address - Phone:818-883-5882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30480111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor