Provider Demographics
NPI:1689886186
Name:VO CHIROPRACTIC A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:VO CHIROPRACTIC A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TAM
Authorized Official - Middle Name:THI
Authorized Official - Last Name:VO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:408-223-1508
Mailing Address - Street 1:1611 E CAPITOL EXPY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95121-1824
Mailing Address - Country:US
Mailing Address - Phone:408-223-1508
Mailing Address - Fax:408-223-7032
Practice Address - Street 1:1611 E CAPITOL EXPY
Practice Address - Street 2:SUITE 201
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95121-1824
Practice Address - Country:US
Practice Address - Phone:408-223-1508
Practice Address - Fax:408-223-7032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19672111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty