Provider Demographics
NPI:1912204934
Name:DINH CHIROPRACTIC PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:DINH CHIROPRACTIC PROFESSIONAL CORPORATION
Other - Org Name:KING CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAM
Authorized Official - Middle Name:
Authorized Official - Last Name:DINH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:408-528-9639
Mailing Address - Street 1:2451 S KING RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95122-2540
Mailing Address - Country:US
Mailing Address - Phone:408-528-9639
Mailing Address - Fax:408-528-9636
Practice Address - Street 1:2451 S KING RD
Practice Address - Street 2:SUITE A
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95122-2540
Practice Address - Country:US
Practice Address - Phone:408-528-9639
Practice Address - Fax:408-528-9636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29048111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty