Provider Demographics
NPI:1619981719
Name:STRAUSS, PAULA JEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:JEAN
Last Name:STRAUSS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 W HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-0507
Mailing Address - Country:US
Mailing Address - Phone:408-866-8820
Mailing Address - Fax:408-866-0122
Practice Address - Street 1:280 W HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-0507
Practice Address - Country:US
Practice Address - Phone:408-866-8820
Practice Address - Fax:408-866-0122
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24627111NT0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NT0100XChiropractic ProvidersChiropractorThermography
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA24627OtherSTATE LICENSE NUMBER
CAU68717Medicare UPIN
CADC0246270Medicare ID - Type UnspecifiedMEDICARE NUMBER