Provider Demographics
NPI:1194865774
Name:NAVARRO, VICTOR M (DC)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:M
Last Name:NAVARRO
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 1:8208 SHEFFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91775-1730
Mailing Address - Country:US
Mailing Address - Phone:213-483-9902
Mailing Address - Fax:
Practice Address - Street 1:1701 W WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-4004
Practice Address - Country:US
Practice Address - Phone:323-887-3577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC17368111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation