Provider Demographics
NPI:1851438790
Name:MARTORANO, JASON R (DC)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:R
Last Name:MARTORANO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1136 BRACE AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-3205
Mailing Address - Country:US
Mailing Address - Phone:408-283-0248
Mailing Address - Fax:408-283-0248
Practice Address - Street 1:2021 THE ALAMEDA
Practice Address - Street 2:SUITE 170
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-1110
Practice Address - Country:US
Practice Address - Phone:408-249-3737
Practice Address - Fax:408-249-4323
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30457111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor