Active NPI
Carol Leann Alonge, DC, LAC
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1750738845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 32564
- Practice address
- 12628 Rubens Ave
Los Angeles, CA 90066-6536 - Phone
- (814) 573-6821
- NPI assigned
- May 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 32564 | CA | Primary |
Addresses
Primary practice location
12628 Rubens Ave
Los Angeles, CA 90066-6536
Mailing address
12628 Rubens Ave.
Los Angeles, CA 90066
Phone (814) 573-6821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32564 | CA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463529600000",
"number": "1750738845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12628 RUBENS AVE.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90066",
"telephone_number": "814-573-6821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12628 RUBENS AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900666536",
"telephone_number": "814-573-6821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALONGE",
"first_name": "CAROL",
"middle_name": "LEANN",
"name_prefix": "Dr.",
"credential": "DC, LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-18",
"last_updated": "2016-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "32564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.