Provider Demographics
NPI:1114141199
Name:INTEGRATED HEALTH CARE
Entity Type:Organization
Organization Name:INTEGRATED HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:BEK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:650-321-7193
Mailing Address - Street 1:480 S CALIFORNIA AVE
Mailing Address - Street 2:STE 103
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-1623
Mailing Address - Country:US
Mailing Address - Phone:650-321-7193
Mailing Address - Fax:650-327-2017
Practice Address - Street 1:480 S CALIFORNIA AVE
Practice Address - Street 2:STE 103
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-1623
Practice Address - Country:US
Practice Address - Phone:650-321-7193
Practice Address - Fax:650-327-2017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29749111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty