Provider Demographics
NPI:1902974512
Name:WARNER, MICHAEL A (DC)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:A
Last Name:WARNER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:23161 VENTURA BLVD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-1105
Mailing Address - Country:US
Mailing Address - Phone:818-340-0834
Mailing Address - Fax:818-340-0983
Practice Address - Street 1:23161 VENTURA BLVD
Practice Address - Street 2:SUITE 209
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-1105
Practice Address - Country:US
Practice Address - Phone:818-340-0834
Practice Address - Fax:818-340-0983
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2017-06-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA17906111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation