Organization
DON R STANLEY JR DC & WENDY WOMACK STANLEY DC
Active
Parent organization
DON R STANLEY JR DC & WENDY WOMACK STANLEY DC
Other names
MOORPARK CHIROPRACTIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DON R STANLEY JR DC & WENDY WOMACK STANLEY DC
Authorized official
JESSICA BENITEZ (MANAGER)
(805) 523-7146
Entity
Organization
Contact information
Practice address
530 NEW LOS ANGELES AVE STE 204, MOORPARK, CA 93021-2080
(805) 523-7146
(805) 523-7882
Mailing address
530 NEW LOS ANGELES AVE STE 204, MOORPARK, CA 93021-2080
(805) 523-7146
(805) 523-7882
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC23378
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W13270
MEDICARE PROVIDER #
CA
Enumeration date
11/13/2007
Last updated
03/24/2020
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