Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 14910 | CA |
NPI | 1407909047 |
---|---|
Provider Name | Dr. Alan Julian Esquibel |
First Address | Napa, CA 94558-6410 |
Second Address | Napa, CA 94558-6410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2007 |
Last Update Date | 03/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
DC0149100 | (02) | CA |