1154547222 NPI number — DR. JOSEPHINE REMO ALO L. AC.,D.O.M.(NM)

Table of content: DR. JOSEPHINE REMO ALO L. AC.,D.O.M.(NM) (NPI 1154547222)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154547222 NPI number — DR. JOSEPHINE REMO ALO L. AC.,D.O.M.(NM)

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALO
Provider First Name:
JOSEPHINE
Provider Middle Name:
REMO
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
L. AC.,D.O.M.(NM)
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ALO
Provider Other First Name:
JOYCEE
Provider Other Middle Name:
REMO
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
L.AC., D.O.M.(NM)
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1154547222
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
720 RAMONA AVE
Provider Second Line Business Mailing Address:
STE. 104
Provider Business Mailing Address City Name:
CORONA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92879-2150
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
951-371-8889
Provider Business Mailing Address Fax Number:
951-371-8881

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
720 RAMONA AVE
Provider Second Line Business Practice Location Address:
STE. 104
Provider Business Practice Location Address City Name:
CORONA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92879-2150
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-371-8889
Provider Business Practice Location Address Fax Number:
951-371-8881
Provider Enumeration Date:
04/17/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  AC6182 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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