Provider Demographics
NPI:1417694415
Name:NUNO CHIROPRACTIC A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:NUNO CHIROPRACTIC A PROFESSIONAL CORPORATION
Other - Org Name:CASTRO VALLEY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GUADALUPE
Authorized Official - Middle Name:
Authorized Official - Last Name:NUNO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:209-470-9322
Mailing Address - Street 1:4035 E CASTRO VALLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94552-4840
Mailing Address - Country:US
Mailing Address - Phone:510-247-1272
Mailing Address - Fax:510-881-1334
Practice Address - Street 1:4035 E CASTRO VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94552-4840
Practice Address - Country:US
Practice Address - Phone:510-247-1272
Practice Address - Fax:510-881-1334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-19
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty