Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC16240 | CA |
N | 111NI0013X | Independent Medical Examiner | DC16240 | CA |
NPI | 1669651832 |
---|---|
Provider Name | James E. Alvis |
First Address | Pomona, CA 91767-1200 |
Second Address | Pomona, CA 91767-1200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2007 |
Last Update Date | 24/10/2007 |