Provider Demographics
NPI:1568686848
Name:LOWE, MARCELA BERNICE (DC)
Entity Type:Individual
Prefix:DR
First Name:MARCELA
Middle Name:BERNICE
Last Name:LOWE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15827 RUSSELL ST
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-2531
Mailing Address - Country:US
Mailing Address - Phone:562-947-9929
Mailing Address - Fax:562-947-5009
Practice Address - Street 1:15827 RUSSELL ST
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90603-2531
Practice Address - Country:US
Practice Address - Phone:562-947-9929
Practice Address - Fax:562-947-5009
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27021111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW14048OtherGROUP NUMBER