Provider Demographics
NPI:1437576444
Name:J.T. VO CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:J.T. VO CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:TUAT VAN
Authorized Official - Last Name:VO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:510-625-1636
Mailing Address - Street 1:373 9TH ST
Mailing Address - Street 2:502
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-6514
Mailing Address - Country:US
Mailing Address - Phone:510-625-1636
Mailing Address - Fax:510-625-1667
Practice Address - Street 1:373 9TH ST
Practice Address - Street 2:502
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-6514
Practice Address - Country:US
Practice Address - Phone:510-625-1636
Practice Address - Fax:510-625-1667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-27
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30404111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty