Healthcare Provider Details

I. General information

NPI: 1265446470
Provider Name (Legal Business Name): DAVID ALLEN ARNETTE D.C. L.A.C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ALLEN ARNETTE D.C. L.A.C

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 01/27/2020
Certification Date: 01/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5150 E PAC COAST HWY 460
LONG BEACH CA
90804-7100
US

IV. Provider business mailing address

6423 E PACIFIC COAST HWY
LONG BEACH CA
90803-4201
US

V. Phone/Fax

Practice location:
  • Phone: 562-473-5371
  • Fax: 805-474-9054
Mailing address:
  • Phone: 562-795-6680
  • Fax: 562-799-9575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC5944
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC21890
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: