Provider Demographics
NPI:1114929148
Name:AYLOR, JAMES ARTHUR (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ARTHUR
Last Name:AYLOR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 PASEO CAMARILLO
Mailing Address - Street 2:#160
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-6050
Mailing Address - Country:US
Mailing Address - Phone:805-987-1800
Mailing Address - Fax:805-987-5311
Practice Address - Street 1:1200 PASEO CAMARILLO
Practice Address - Street 2:#160
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-6050
Practice Address - Country:US
Practice Address - Phone:805-987-1800
Practice Address - Fax:805-987-5311
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-10
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC12350111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW14172Medicare ID - Type Unspecified
CAWDC12350AMedicare ID - Type Unspecified
T04721Medicare UPIN