Provider Demographics
NPI:1316963143
Name:AJLOUNI, DONALD GABRIEL (DC)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:GABRIEL
Last Name:AJLOUNI
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 1:4986 CHERRY AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95118-2748
Mailing Address - Country:US
Mailing Address - Phone:408-224-8616
Mailing Address - Fax:408-224-8617
Practice Address - Street 1:4986 CHERRY AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95118-2748
Practice Address - Country:US
Practice Address - Phone:408-224-8616
Practice Address - Fax:408-224-8617
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27003111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0270030Medicare ID - Type Unspecified
CAU84050Medicare UPIN