Doctor Name: | DR. JENNY M. STOFER |
NPI Number: | 1194156109 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 5848 |
Business Practice Address: | 4284 Lincoln Blvd Marina Del Rey, CA - 902925654 |
Business Phone Number: | 3108273200 |
Business Fax Number: | |
Mailing Address: | 4225 Beethoven St, LOS ANGELES |
State: | CA |
Postal Code: | 900665705 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/02/2013 |
NPI Last Update Date: | 02/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 5848 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |