Provider Demographics
NPI:1053111468
Name:AGASID, JULIUS ALEXANDER (DC)
Entity type:Individual
Prefix:DR
First Name:JULIUS
Middle Name:ALEXANDER
Last Name:AGASID
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18575 GALE AVE STE 265
Mailing Address - Street 2:
Mailing Address - City:CITY OF INDUSTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91748-1384
Mailing Address - Country:US
Mailing Address - Phone:626-623-8684
Mailing Address - Fax:
Practice Address - Street 1:18575 GALE AVE STE 265
Practice Address - Street 2:
Practice Address - City:CITY OF INDUSTRY
Practice Address - State:CA
Practice Address - Zip Code:91748-1384
Practice Address - Country:US
Practice Address - Phone:626-623-8684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC37250111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor