Provider Demographics
NPI:1205692118
Name:ENCARNACION-STRAND, ALEXANDER LEE
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:LEE
Last Name:ENCARNACION-STRAND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:641 WOODBURY PL
Mailing Address - Street 2:
Mailing Address - City:OAKLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94561-2531
Mailing Address - Country:US
Mailing Address - Phone:925-812-0217
Mailing Address - Fax:
Practice Address - Street 1:2380 FAIRVIEW AVE STE A
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-5585
Practice Address - Country:US
Practice Address - Phone:925-516-9970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC36872111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor