Provider Demographics
NPI:1982777322
Name:DOREO, NANCY IRENE (ND, DC)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:IRENE
Last Name:DOREO
Suffix:
Gender:F
Credentials:ND, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11400 N VENTURA AVE
Mailing Address - Street 2:B
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-4134
Mailing Address - Country:US
Mailing Address - Phone:805-794-4286
Mailing Address - Fax:805-376-1446
Practice Address - Street 1:11400 N VENTURA AVE
Practice Address - Street 2:B
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-4134
Practice Address - Country:US
Practice Address - Phone:805-794-4286
Practice Address - Fax:805-376-1446
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1393175F00000X
CADC18223111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0C0182230OtherBLUE SHIELD