Provider Demographics
NPI:1972962546
Name:CORDOVA, ARTURO JR (DC)
Entity Type:Individual
Prefix:DR
First Name:ARTURO
Middle Name:
Last Name:CORDOVA
Suffix:JR
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 1:34210 DESERT RD
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:CA
Mailing Address - Zip Code:93510-1486
Mailing Address - Country:US
Mailing Address - Phone:661-269-5569
Mailing Address - Fax:
Practice Address - Street 1:33325 SANTIAGO RD
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:CA
Practice Address - Zip Code:93510-1416
Practice Address - Country:US
Practice Address - Phone:661-860-1291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-11
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33461111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor