Provider Demographics
NPI:1134646714
Name:ALEXSANDRA KAYKOV DC INC.
Entity Type:Organization
Organization Name:ALEXSANDRA KAYKOV DC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEXSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAYKOV
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-927-3777
Mailing Address - Street 1:4705 KESTER AVE.
Mailing Address - Street 2:109
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403
Mailing Address - Country:US
Mailing Address - Phone:818-648-9606
Mailing Address - Fax:
Practice Address - Street 1:5142 LAUREL CANYON BLVD
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-3134
Practice Address - Country:US
Practice Address - Phone:818-927-3337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-24
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC33327111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty