Provider Demographics
NPI:1578088290
Name:ROHANI CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:ROHANI CHIROPRACTIC CORPORATION
Other - Org Name:PROFUNCTIONAL CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NEDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROHANI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:510-362-1991
Mailing Address - Street 1:1257B OAKMEAD PKWY
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085-4040
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1257B OAKMEAD PKWY
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-4040
Practice Address - Country:US
Practice Address - Phone:510-362-1991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-03
Last Update Date:2017-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33923111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty