Provider Demographics
NPI:1487705182
Name:CAPTANIS, ROBYNE K (DC)
Entity type:Individual
Prefix:DR
First Name:ROBYNE
Middle Name:K
Last Name:CAPTANIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ROBYNE
Other - Middle Name:K
Other - Last Name:CAPTANIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:2650 N LOS COYOTES DIAGONAL
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-1355
Mailing Address - Country:US
Mailing Address - Phone:562-420-7571
Mailing Address - Fax:562-420-6773
Practice Address - Street 1:2650 N LOS COYOTES DIAGONAL
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-1355
Practice Address - Country:US
Practice Address - Phone:562-420-7571
Practice Address - Fax:562-420-6773
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20540111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor