Provider Demographics
NPI:1942283536
Name:BOZKURT, ANNIE TRAN (DC)
Entity Type:Individual
Prefix:DR
First Name:ANNIE
Middle Name:TRAN
Last Name:BOZKURT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ANNIE
Other - Middle Name:
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:109 SAINT JAMES DR
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94611-3603
Mailing Address - Country:US
Mailing Address - Phone:415-713-4837
Mailing Address - Fax:
Practice Address - Street 1:109 SAINT JAMES DR
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:CA
Practice Address - Zip Code:94611-3603
Practice Address - Country:US
Practice Address - Phone:415-713-4837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-28
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29221111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0292210Medicaid
CADC0292210Medicaid
CAV02740Medicare UPIN