Provider Demographics
NPI:1942339379
Name:HAMILTON, AARON JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:JAMES
Last Name:HAMILTON
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 1:15030 IMPERIAL HWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-1301
Mailing Address - Country:US
Mailing Address - Phone:562-943-1171
Mailing Address - Fax:562-943-4434
Practice Address - Street 1:15030 IMPERIAL HWY
Practice Address - Street 2:SUITE A
Practice Address - City:LA MIRADA
Practice Address - State:CA
Practice Address - Zip Code:90638-1301
Practice Address - Country:US
Practice Address - Phone:562-943-1171
Practice Address - Fax:562-943-4434
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC15653111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC15653OtherBLUE SHIELD ID