Provider Demographics
NPI:1710086111
Name:NAVAL, RICHARD ZABALA (DC)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:ZABALA
Last Name:NAVAL
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 1:635 ANDERSON ROAD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-3505
Mailing Address - Country:US
Mailing Address - Phone:530-759-9007
Mailing Address - Fax:530-759-8802
Practice Address - Street 1:635 ANDERSON ROAD
Practice Address - Street 2:SUITE 5
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-3505
Practice Address - Country:US
Practice Address - Phone:530-759-9007
Practice Address - Fax:530-759-8802
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25258111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00308744OtherRAILROAD MEDICARE
DC0252580Medicare ID - Type Unspecified