Provider Demographics
NPI:1265446470
Name:ARNETTE, DAVID ALLEN (DC LAC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALLEN
Last Name:ARNETTE
Suffix:
Gender:M
Credentials:DC LAC
Other - Prefix:DR
Other - First Name:ALLEN
Other - Middle Name:
Other - Last Name:ARNETTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC LAC
Mailing Address - Street 1:6423 E PACIFIC COAST HWY
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-4201
Mailing Address - Country:US
Mailing Address - Phone:562-795-6680
Mailing Address - Fax:562-799-9575
Practice Address - Street 1:5150 E PAC COAST HWY
Practice Address - Street 2:460
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-7100
Practice Address - Country:US
Practice Address - Phone:562-473-5371
Practice Address - Fax:805-474-9054
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC5944171100000X
CADC21890111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist