Provider Demographics
NPI:1538260930
Name:CIOFFI, HEATHER ELIZABETH (DC)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:ELIZABETH
Last Name:CIOFFI
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 1:9931 MELVIN AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-1019
Mailing Address - Country:US
Mailing Address - Phone:714-928-0520
Mailing Address - Fax:714-974-0563
Practice Address - Street 1:6326 E SANTA ANA CANYON RD
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-2365
Practice Address - Country:US
Practice Address - Phone:714-928-0520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27525111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU86110Medicare UPIN
CADC27525Medicare ID - Type Unspecified