Provider Demographics
NPI:1497116008
Name:VUONG CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:VUONG CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAO
Authorized Official - Middle Name:
Authorized Official - Last Name:VUONG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:408-225-5263
Mailing Address - Street 1:3005 SILVER CREEK RD
Mailing Address - Street 2:SUITE 124
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95121-1789
Mailing Address - Country:US
Mailing Address - Phone:408-225-5263
Mailing Address - Fax:408-882-6291
Practice Address - Street 1:3005 SILVER CREEK RD
Practice Address - Street 2:SUITE 124
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95121-1789
Practice Address - Country:US
Practice Address - Phone:408-225-5263
Practice Address - Fax:408-882-6291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-09
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29018111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0290180Medicare PIN