Provider Demographics
NPI:1730186107
Name:AMORIM, ISABEL (DC)
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:
Last Name:AMORIM
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 1:4156 BALDWIN AVE
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91731-1708
Mailing Address - Country:US
Mailing Address - Phone:626-443-2450
Mailing Address - Fax:626-280-3092
Practice Address - Street 1:4156 BALDWIN AVE
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-1708
Practice Address - Country:US
Practice Address - Phone:626-443-2450
Practice Address - Fax:626-280-3092
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17264111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0172640OtherBLUE SHIELD OF CALIFORNIA