Provider Demographics
NPI:1891972816
Name:H. WANG CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:H. WANG CHIROPRACTIC INC.
Other - Org Name:THRIVING LIFE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:S
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:409-309-9688
Mailing Address - Street 1:795 CASTRO ST
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94041-2013
Mailing Address - Country:US
Mailing Address - Phone:650-961-1688
Mailing Address - Fax:650-961-7466
Practice Address - Street 1:795 CASTRO ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94041-2013
Practice Address - Country:US
Practice Address - Phone:650-961-1688
Practice Address - Fax:650-961-7466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30364111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty