Provider Demographics
NPI:1528355039
Name:CHAVOINIK, ORIT (DC)
Entity type:Individual
Prefix:DR
First Name:ORIT
Middle Name:
Last Name:CHAVOINIK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20501 VENTURA BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-0853
Mailing Address - Country:US
Mailing Address - Phone:818-512-0200
Mailing Address - Fax:
Practice Address - Street 1:20501 VENTURA BLVD STE 205
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-0853
Practice Address - Country:US
Practice Address - Phone:818-512-0200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-05
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-27213111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor