Provider Demographics
NPI:1326142472
Name:AGUEDA, DAVID ZACHARY (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ZACHARY
Last Name:AGUEDA
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 1:1506 PARK ST
Mailing Address - Street 2:
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446-2162
Mailing Address - Country:US
Mailing Address - Phone:805-226-5900
Mailing Address - Fax:805-226-5902
Practice Address - Street 1:1506 PARK ST
Practice Address - Street 2:
Practice Address - City:PASO ROBLES
Practice Address - State:CA
Practice Address - Zip Code:93446-2162
Practice Address - Country:US
Practice Address - Phone:805-226-5900
Practice Address - Fax:805-226-5902
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-11
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 30081111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor