Provider Demographics
NPI:1992961700
Name:OREL CHIROPRACTIC INC
Entity type:Organization
Organization Name:OREL CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIOR / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:OREL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-705-0501
Mailing Address - Street 1:17815 VENTURA BLVD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-3650
Mailing Address - Country:US
Mailing Address - Phone:818-705-0501
Mailing Address - Fax:818-705-0502
Practice Address - Street 1:17815 VENTURA BLVD STE 207
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-3650
Practice Address - Country:US
Practice Address - Phone:818-705-0501
Practice Address - Fax:818-705-0502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-31
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 28146111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical ExaminerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA28146Medicaid
CA28146Medicaid