Provider Demographics
NPI:1558479980
Name:CASTEL DE ORO-NAJERA, DENISE LOUISE (DC)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:LOUISE
Last Name:CASTEL DE ORO-NAJERA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DENISE
Other - Middle Name:LOUISE
Other - Last Name:NAJERA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:6505 ATLANTIC AVE.
Mailing Address - Street 2:
Mailing Address - City:BELL
Mailing Address - State:CA
Mailing Address - Zip Code:90201-2521
Mailing Address - Country:US
Mailing Address - Phone:323-771-3220
Mailing Address - Fax:323-771-3460
Practice Address - Street 1:6505 ATLANTIC AVE.
Practice Address - Street 2:
Practice Address - City:BELL
Practice Address - State:CA
Practice Address - Zip Code:90201-2521
Practice Address - Country:US
Practice Address - Phone:323-771-3220
Practice Address - Fax:323-771-3460
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-27
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC17575111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC17575AOtherMEDICARE TYPE B
CAT82653Medicare UPIN
CADC17575AOtherMEDICARE TYPE B