Provider Demographics
NPI:1235688391
Name:ALBADANI TOTAL WELLNESS CHIROPRACTIC
Entity Type:Organization
Organization Name:ALBADANI TOTAL WELLNESS CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FAWAZ
Authorized Official - Middle Name:ALBDULLAH
Authorized Official - Last Name:ALBADANI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:925-858-6844
Mailing Address - Street 1:6700 SANTA RITA RD STE D
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-3467
Mailing Address - Country:US
Mailing Address - Phone:925-858-6844
Mailing Address - Fax:925-463-1298
Practice Address - Street 1:6700 SANTA RITA RD STE D
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-3467
Practice Address - Country:US
Practice Address - Phone:925-858-6844
Practice Address - Fax:925-463-1298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-29
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32456111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty