Provider Demographics
NPI:1134253743
Name:KATTAR, WALEED (DC)
Entity type:Individual
Prefix:DR
First Name:WALEED
Middle Name:
Last Name:KATTAR
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 1:320 S GARFIELD AVE STE 322
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-6816
Mailing Address - Country:US
Mailing Address - Phone:626-570-9892
Mailing Address - Fax:626-570-9894
Practice Address - Street 1:320 S GARFIELD AVE STE 322
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-6816
Practice Address - Country:US
Practice Address - Phone:626-570-9892
Practice Address - Fax:626-570-9894
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27784111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAV01909Medicare UPIN
CADC27784Medicare ID - Type Unspecified