Provider Demographics
NPI:1538372859
Name:DALFONSO, PAUL FRANCIS (DC)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:FRANCIS
Last Name:DALFONSO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1924 EAST MAPLE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:EL SEQUNDO
Mailing Address - State:CA
Mailing Address - Zip Code:90245
Mailing Address - Country:US
Mailing Address - Phone:310-546-6863
Mailing Address - Fax:310-337-0763
Practice Address - Street 1:1924 EAST MAPLE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:EL SEQUNDO
Practice Address - State:CA
Practice Address - Zip Code:90245
Practice Address - Country:US
Practice Address - Phone:310-546-6863
Practice Address - Fax:310-337-0763
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA29795111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor