Provider Demographics
NPI:1891265732
Name:JESSICA FRANCO CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:JESSICA FRANCO CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:RIVER
Authorized Official - Middle Name:
Authorized Official - Last Name:COCCO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:310-606-1141
Mailing Address - Street 1:10 LOS ALTOS RD
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-1718
Mailing Address - Country:US
Mailing Address - Phone:310-606-1141
Mailing Address - Fax:
Practice Address - Street 1:3530 GRAND AVE STE 2
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-2036
Practice Address - Country:US
Practice Address - Phone:510-444-8494
Practice Address - Fax:408-767-2210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-04
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty