Provider Demographics
NPI:1235304411
Name:JAVIER, LAMBERT (DC)
Entity type:Individual
Prefix:
First Name:LAMBERT
Middle Name:
Last Name:JAVIER
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 1:32145 ALVARADO NILES RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-2930
Mailing Address - Country:US
Mailing Address - Phone:510-471-1696
Mailing Address - Fax:877-871-7140
Practice Address - Street 1:32145 ALVARADO NILES RD
Practice Address - Street 2:SUITE 206
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-2930
Practice Address - Country:US
Practice Address - Phone:510-471-1696
Practice Address - Fax:877-871-7140
Is Sole Proprietor?:No
Enumeration Date:2008-04-28
Last Update Date:2017-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27612111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA45-5013611OtherTAX ID NUMBER