Provider Demographics
NPI:1659711471
Name:SOBHANI, HILDA (DC)
Entity Type:Individual
Prefix:DR
First Name:HILDA
Middle Name:
Last Name:SOBHANI
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 1:1630 OAKLAND RD STE A117
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131-2461
Mailing Address - Country:US
Mailing Address - Phone:408-436-8055
Mailing Address - Fax:408-436-8701
Practice Address - Street 1:1630 OAKLAND RD STE A117
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-2461
Practice Address - Country:US
Practice Address - Phone:408-436-8055
Practice Address - Fax:408-436-8701
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32568111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor