Provider Demographics
NPI:1740479542
Name:MCCAUGHAN, ALISON DELIMAN (DC)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:DELIMAN
Last Name:MCCAUGHAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ALISON
Other - Middle Name:
Other - Last Name:DELIMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1649 S. ROBERTSON BLVD.
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035
Mailing Address - Country:US
Mailing Address - Phone:310-733-8554
Mailing Address - Fax:
Practice Address - Street 1:1649 S. ROBERTSON BLVD.
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035
Practice Address - Country:US
Practice Address - Phone:310-286-1808
Practice Address - Fax:310-286-1810
Is Sole Proprietor?:No
Enumeration Date:2007-10-17
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15181111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor