Provider Demographics
NPI:1073830279
Name:HA, CALI (DC)
Entity Type:Individual
Prefix:DR
First Name:CALI
Middle Name:
Last Name:HA
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 1:483 POMEGRANATE LN
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95134-1236
Mailing Address - Country:US
Mailing Address - Phone:408-439-8969
Mailing Address - Fax:650-941-4446
Practice Address - Street 1:811 ALTOS OAKS DR
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94024-5426
Practice Address - Country:US
Practice Address - Phone:408-439-8969
Practice Address - Fax:650-941-4446
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31594111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor