Provider Demographics
NPI:1033276969
Name:SVETICH, VAL (DC)
Entity Type:Individual
Prefix:DR
First Name:VAL
Middle Name:
Last Name:SVETICH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38143 MARTHA AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-3800
Mailing Address - Country:US
Mailing Address - Phone:510-713-2012
Mailing Address - Fax:510-713-7700
Practice Address - Street 1:38143 MARTHA AVE
Practice Address - Street 2:SUITE B
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536-3800
Practice Address - Country:US
Practice Address - Phone:510-713-2012
Practice Address - Fax:510-713-7700
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA224741111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU50798Medicare ID - Type Unspecified