Provider Demographics
NPI:1508514746
Name:STEWART, ALECIA (DC)
Entity Type:Individual
Prefix:
First Name:ALECIA
Middle Name:
Last Name:STEWART
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ALECIA
Other - Middle Name:
Other - Last Name:BECKFORD-STEWART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9100 WILSHIRE BLVD STE 850
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-3467
Mailing Address - Country:US
Mailing Address - Phone:310-550-0299
Mailing Address - Fax:
Practice Address - Street 1:9100 WILSHIRE BLVD STE 850
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-3467
Practice Address - Country:US
Practice Address - Phone:310-550-0299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36305111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician