Provider Demographics
NPI:1548289176
Name:NAGAR, YOAV (DC)
Entity type:Individual
Prefix:DR
First Name:YOAV
Middle Name:
Last Name:NAGAR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12626 RIVERSIDE DR STE 301
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91607-3473
Mailing Address - Country:US
Mailing Address - Phone:818-760-0110
Mailing Address - Fax:818-760-0137
Practice Address - Street 1:12626 RIVERSIDE DR STE 301
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91607-3473
Practice Address - Country:US
Practice Address - Phone:818-760-0110
Practice Address - Fax:818-760-0137
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25477111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC25477Medicare UPIN