Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 26668 | CA |
NPI | 1275606600 |
---|---|
Provider Name | Dr. Ziyad H Alam |
First Address | Ontario, CA 91762-3500 |
Second Address | Fontana, CA 92335-3500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 08/07/2007 |