Provider Demographics
NPI:1215317946
Name:RILEY, ALAN RICHARD (DC)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:RICHARD
Last Name:RILEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2571 CALIFORNIA PARK DR
Mailing Address - Street 2:110
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-4042
Mailing Address - Country:US
Mailing Address - Phone:530-715-0411
Mailing Address - Fax:530-894-2034
Practice Address - Street 1:2571 CALIFORNIA PARK DR
Practice Address - Street 2:110
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-4042
Practice Address - Country:US
Practice Address - Phone:530-715-0411
Practice Address - Fax:530-894-2034
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-08
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002830A111N00000X
CADC33738111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor