Provider Demographics
NPI:1992748412
Name:NAIM, ALAN (DC)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:
Last Name:NAIM
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 1:403 N PACIFIC COAST HWY
Mailing Address - Street 2:201
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-2839
Mailing Address - Country:US
Mailing Address - Phone:310-798-8777
Mailing Address - Fax:310-798-8783
Practice Address - Street 1:403 N PACIFIC COAST HWY
Practice Address - Street 2:201
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-2839
Practice Address - Country:US
Practice Address - Phone:310-798-8777
Practice Address - Fax:310-798-8783
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29474111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAV03220Medicare UPIN