Provider Demographics
NPI:1720165376
Name:SAWHNEY, AJAY KUMAR (DC, LAC)
Entity Type:Individual
Prefix:DR
First Name:AJAY
Middle Name:KUMAR
Last Name:SAWHNEY
Suffix:
Gender:M
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 E KATELLA AVE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92806-6046
Mailing Address - Country:US
Mailing Address - Phone:714-978-1933
Mailing Address - Fax:
Practice Address - Street 1:2300 E KATELLA AVE
Practice Address - Street 2:SUITE 150
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92806-6046
Practice Address - Country:US
Practice Address - Phone:714-978-1933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27258111NR0400X
171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111NR0400XChiropractic ProvidersChiropractorRehabilitation
Not Answered171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3613628900OtherOWCP