Provider Demographics
NPI:1437233798
Name:OCASIO, JOSE (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:
Last Name:OCASIO
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 1:130 COOK AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-3390
Mailing Address - Country:US
Mailing Address - Phone:626-796-8800
Mailing Address - Fax:626-796-8811
Practice Address - Street 1:130 COOK AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-3390
Practice Address - Country:US
Practice Address - Phone:626-796-8800
Practice Address - Fax:626-796-8811
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30040111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor