Provider Demographics
NPI:1316061930
Name:OCA, RAYMOND T (DC)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:T
Last Name:OCA
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 1:5122 KATELLA AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-2827
Mailing Address - Country:US
Mailing Address - Phone:562-493-1075
Mailing Address - Fax:714-276-6544
Practice Address - Street 1:5122 KATELLA AVE STE 300
Practice Address - Street 2:
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-2827
Practice Address - Country:US
Practice Address - Phone:562-493-1075
Practice Address - Fax:714-276-6544
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2008-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27833111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor