Provider Demographics
NPI:1891868717
Name:VAUGHN, CHRISTINE (DR OF CHIROPRACTIC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:VAUGHN
Suffix:
Gender:F
Credentials:DR OF CHIROPRACTIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10660 WHITE OAK AVE SUITE 210
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344
Mailing Address - Country:US
Mailing Address - Phone:818-363-8715
Mailing Address - Fax:818-363-8725
Practice Address - Street 1:10660 WHITE OAK AVE SUITE 210
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344
Practice Address - Country:US
Practice Address - Phone:818-363-8715
Practice Address - Fax:818-363-8725
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC20432111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor