Provider Demographics
NPI:1235293663
Name:NAVAL, HAIDEE ZABALA (DC)
Entity Type:Individual
Prefix:DR
First Name:HAIDEE
Middle Name:ZABALA
Last Name:NAVAL
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 1:8764 BLUFF LN
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-6482
Mailing Address - Country:US
Mailing Address - Phone:925-323-7764
Mailing Address - Fax:
Practice Address - Street 1:8764 BLUFF LN
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-6482
Practice Address - Country:US
Practice Address - Phone:925-323-7764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC26981111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC026981Medicare ID - Type Unspecified