Provider Demographics
NPI:1548608284
Name:MOSER, ALINA JANINE (DC, LAC)
Entity Type:Individual
Prefix:DR
First Name:ALINA
Middle Name:JANINE
Last Name:MOSER
Suffix:
Gender:F
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 18TH ST
Mailing Address - Street 2:
Mailing Address - City:OCEANO
Mailing Address - State:CA
Mailing Address - Zip Code:93445-9310
Mailing Address - Country:US
Mailing Address - Phone:808-284-2374
Mailing Address - Fax:
Practice Address - Street 1:1353 SHELL BEACH RD
Practice Address - Street 2:
Practice Address - City:PISMO BEACH
Practice Address - State:CA
Practice Address - Zip Code:93449-1954
Practice Address - Country:US
Practice Address - Phone:805-473-7311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-04
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17924171100000X
CA32313111N00000X, 111N00000X
HIACU-1067171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist