Provider Demographics
NPI:1225176241
Name:CAPEN, DARYL ALAN (DC)
Entity Type:Individual
Prefix:DR
First Name:DARYL
Middle Name:ALAN
Last Name:CAPEN
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 1:15215 LEFFINGWELL RD
Mailing Address - Street 2:STE B
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90604-2254
Mailing Address - Country:US
Mailing Address - Phone:562-903-9355
Mailing Address - Fax:
Practice Address - Street 1:15215 LEFFINGWELL RD STE B
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90604-2277
Practice Address - Country:US
Practice Address - Phone:562-903-9355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28930111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor