Healthcare Provider Details

I. General information

NPI: 1578442257
Provider Name (Legal Business Name): ALEXANDER NEVAREZ DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

338 N WESTERN AVE
LOS ANGELES CA
90004-2602
US

IV. Provider business mailing address

338 N WESTERN AVE
LOS ANGELES CA
90004-2602
US

V. Phone/Fax

Practice location:
  • Phone: 213-250-5106
  • Fax: 213-250-8861
Mailing address:
  • Phone: 213-250-5106
  • Fax: 213-250-8861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC37360
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: