Provider Demographics
NPI:1528692183
Name:NAASZ, CONNOR JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:CONNOR
Middle Name:JAMES
Last Name:NAASZ
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 1:32382 DEL OBISPO ST
Mailing Address - Street 2:STE B5
Mailing Address - City:SAN JUAN CAPISTRANO
Mailing Address - State:CA
Mailing Address - Zip Code:92675-4029
Mailing Address - Country:US
Mailing Address - Phone:949-500-0685
Mailing Address - Fax:
Practice Address - Street 1:32382 DEL OBISPO ST
Practice Address - Street 2:STE B5
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-4029
Practice Address - Country:US
Practice Address - Phone:949-500-0685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-23
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34774111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor