Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | DC17368 | CA |
NPI | 1194865774 |
---|---|
Provider Name | Dr. Victor M Navarro |
First Address | San Gabriel, CA 91775-1730 |
Second Address | Montebello, CA 90640-4004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 14/08/2013 |