Provider Demographics
NPI:1689914038
Name:TOOTOONCHI CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:TOOTOONCHI CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:TOOTOONCHI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:408-655-2523
Mailing Address - Street 1:225 W HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-0558
Mailing Address - Country:US
Mailing Address - Phone:408-655-2523
Mailing Address - Fax:408-628-0489
Practice Address - Street 1:225 W HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-0558
Practice Address - Country:US
Practice Address - Phone:408-655-2523
Practice Address - Fax:408-628-0489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-21
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29011111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty