Provider Demographics
NPI:1467917096
Name:NAVASCA, ALEXANDER VO (DC)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:VO
Last Name:NAVASCA
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 1:3623 MACARTHUR BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94619-1352
Mailing Address - Country:US
Mailing Address - Phone:510-750-7847
Mailing Address - Fax:
Practice Address - Street 1:3623 MACARTHUR BLVD STE B
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94619-1352
Practice Address - Country:US
Practice Address - Phone:510-750-7847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-07
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30433111NX0100X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NX0100XChiropractic ProvidersChiropractorOccupational Health