Provider Demographics
NPI:1497943906
Name:KAKAR, ALI (DC)
Entity Type:Individual
Prefix:DR
First Name:ALI
Middle Name:
Last Name:KAKAR
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 1:17777 MAIN ST
Mailing Address - Street 2:SUITE D, BLDG 60
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-4795
Mailing Address - Country:US
Mailing Address - Phone:949-387-1697
Mailing Address - Fax:949-387-1717
Practice Address - Street 1:17777 MAIN ST
Practice Address - Street 2:SUITE D, BLDG 60
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-4795
Practice Address - Country:US
Practice Address - Phone:949-387-1697
Practice Address - Fax:949-387-1717
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-30651111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor