Provider Demographics
NPI:1992820526
Name:CARLISLE, ARTHUR LAVORN (DC)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:LAVORN
Last Name:CARLISLE
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 1:2320 S GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-7220
Mailing Address - Country:US
Mailing Address - Phone:323-722-9098
Mailing Address - Fax:323-722-6494
Practice Address - Street 1:2320 S GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-7220
Practice Address - Country:US
Practice Address - Phone:323-722-9098
Practice Address - Fax:323-722-6494
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA016297111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor