Provider Demographics
NPI:1174749303
Name:ZAPPALA, DANA LIAH (DC)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:LIAH
Last Name:ZAPPALA
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 1:14445 1.2 VENTURA BLVD
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-2680
Mailing Address - Country:US
Mailing Address - Phone:818-784-6367
Mailing Address - Fax:818-784-6368
Practice Address - Street 1:14445 VENTURA BLVD # 1.2
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-2606
Practice Address - Country:US
Practice Address - Phone:818-784-6367
Practice Address - Fax:818-784-6368
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC18926111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor