Provider Demographics
NPI:1639877244
Name:SAVIANO CHIROPRACTIC CENTER, INC.
Entity Type:Organization
Organization Name:SAVIANO CHIROPRACTIC CENTER, INC.
Other - Org Name:VITAPRATICS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:SAVIANO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:650-591-9674
Mailing Address - Street 1:390 EL CAMINO REAL UNIT I
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-2006
Mailing Address - Country:US
Mailing Address - Phone:650-591-9674
Mailing Address - Fax:
Practice Address - Street 1:390 EL CAMINO REAL STE I
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-2006
Practice Address - Country:US
Practice Address - Phone:650-444-0682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-22
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty