Provider Demographics
NPI:1821345653
Name:AYALA, AARON MATTHEW (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:MATTHEW
Last Name:AYALA
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 1:370 N LANTANA ST
Mailing Address - Street 2:STE 17
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-9028
Mailing Address - Country:US
Mailing Address - Phone:805-384-8443
Mailing Address - Fax:
Practice Address - Street 1:370 N LANTANA ST
Practice Address - Street 2:STE 17
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-9028
Practice Address - Country:US
Practice Address - Phone:805-384-8443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-10
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32381111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor