Provider Demographics
NPI:1972814853
Name:HERRERA, CHRISTOPHER (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:HERRERA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 PRICE AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-1420
Mailing Address - Country:US
Mailing Address - Phone:650-366-6652
Mailing Address - Fax:650-249-3788
Practice Address - Street 1:609 PRICE AVE STE 104
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1420
Practice Address - Country:US
Practice Address - Phone:650-366-6652
Practice Address - Fax:650-249-3788
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-25
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31704111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor