Provider Demographics
NPI:1194192195
Name:CALIFORNIA K-LASER
Entity Type:Organization
Organization Name:CALIFORNIA K-LASER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSICH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:408-374-4220
Mailing Address - Street 1:281 E HAMILTON AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-0232
Mailing Address - Country:US
Mailing Address - Phone:408-374-4220
Mailing Address - Fax:408-378-0789
Practice Address - Street 1:281 E HAMILTON AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-0232
Practice Address - Country:US
Practice Address - Phone:408-374-4220
Practice Address - Fax:408-378-0789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-25
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC10740111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty