Provider Demographics
NPI:1134649494
Name:NAJERA, CANDY ZAMORA (DC)
Entity Type:Individual
Prefix:DR
First Name:CANDY
Middle Name:ZAMORA
Last Name:NAJERA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16600 COHASSET ST
Mailing Address - Street 2:
Mailing Address - City:LAKE BALBOA
Mailing Address - State:CA
Mailing Address - Zip Code:91406-2809
Mailing Address - Country:US
Mailing Address - Phone:818-232-2471
Mailing Address - Fax:
Practice Address - Street 1:16600 COHASSET ST
Practice Address - Street 2:
Practice Address - City:LAKE BALBOA
Practice Address - State:CA
Practice Address - Zip Code:91406-2809
Practice Address - Country:US
Practice Address - Phone:818-561-7020
Practice Address - Fax:888-728-6702
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33946111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor