Provider Demographics
NPI:1851405955
Name:KAMSI, ALEX (DC)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:
Last Name:KAMSI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:ALI
Other - Middle Name:
Other - Last Name:KHAMSEI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:11956 BERNARDO PLAZA DR
Mailing Address - Street 2:SUITE 556
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-2538
Mailing Address - Country:US
Mailing Address - Phone:858-753-8090
Mailing Address - Fax:858-244-7910
Practice Address - Street 1:12422 SALMON RIVER RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92129-3545
Practice Address - Country:US
Practice Address - Phone:858-753-8090
Practice Address - Fax:858-244-7910
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28966111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC28966OtherCHIROPRACTIC STATE LICENS