Individual
DR. BRUCE SHANNAHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5363 BALBOA BLVD STE 430, ENCINO, CA 91316-2837
(818) 789-3244
(253) 390-2518
Mailing address
5363 BALBOA BLVD STE 430, ENCINO, CA 91316-2837
(818) 789-3244
(253) 390-2518
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15683
CA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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