Provider Demographics
NPI:1538208947
Name:MASANGKAY, ELAINE LACANLALE (DC)
Entity type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:LACANLALE
Last Name:MASANGKAY
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 1:28110 NEWHALL RANCH RD
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-0990
Mailing Address - Country:US
Mailing Address - Phone:661-294-9333
Mailing Address - Fax:
Practice Address - Street 1:28110 NEWHALL RANCH RD
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-0990
Practice Address - Country:US
Practice Address - Phone:661-294-9333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25471111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor