Provider Demographics
NPI:1376693812
Name:LIMON, ALEXANDRIA MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRIA
Middle Name:MARIE
Last Name:LIMON
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 1:3456 CAMINO DEL RIO N STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-1714
Mailing Address - Country:US
Mailing Address - Phone:619-584-8181
Mailing Address - Fax:619-521-0443
Practice Address - Street 1:2878 CAMINO DEL RIO S
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3872
Practice Address - Country:US
Practice Address - Phone:619-584-8181
Practice Address - Fax:619-521-0443
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14972111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC14972Medicare ID - Type Unspecified