Provider Demographics
NPI:1871881243
Name:DANILOV, JGOR G (DC)
Entity type:Individual
Prefix:DR
First Name:JGOR
Middle Name:G
Last Name:DANILOV
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2322 BUTANO DR
Mailing Address - Street 2:STE# 209
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-0629
Mailing Address - Country:US
Mailing Address - Phone:916-978-9211
Mailing Address - Fax:916-978-9529
Practice Address - Street 1:5531 HEMLOCK ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95841-2709
Practice Address - Country:US
Practice Address - Phone:916-978-9211
Practice Address - Fax:916-978-9529
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-19
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA24110111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor