Provider Demographics
NPI:1992763601
Name:ALFF, STEVEN L (DC)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:L
Last Name:ALFF
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 1:3287 CORBY AVE
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-3703
Mailing Address - Country:US
Mailing Address - Phone:805-648-7987
Mailing Address - Fax:
Practice Address - Street 1:1590 E MAIN ST
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93001-3310
Practice Address - Country:US
Practice Address - Phone:805-648-7987
Practice Address - Fax:805-648-4009
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC14541111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC14541Medicare PIN
CAT05417Medicare UPIN