Provider Demographics
NPI:1588742035
Name:DEL ROSARIO, ALLAN RAE (DC)
Entity type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:RAE
Last Name:DEL ROSARIO
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 1:2591 MARGARET LN
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-5177
Mailing Address - Country:US
Mailing Address - Phone:925-219-9765
Mailing Address - Fax:
Practice Address - Street 1:731 HICKEY BLVD
Practice Address - Street 2:
Practice Address - City:PACIFICA
Practice Address - State:CA
Practice Address - Zip Code:94044-1214
Practice Address - Country:US
Practice Address - Phone:650-738-8080
Practice Address - Fax:650-738-8082
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28942111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor