Provider Demographics
NPI:1982827382
Name:DO, KATHERINE NGOC DIEP (DC,)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:NGOC DIEP
Last Name:DO
Suffix:
Gender:F
Credentials:DC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1553 SIERRA CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95132-1947
Mailing Address - Country:US
Mailing Address - Phone:408-288-3800
Mailing Address - Fax:
Practice Address - Street 1:1893 MONTEREY HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-6136
Practice Address - Country:US
Practice Address - Phone:408-288-3800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 28367111N00000X
CA15712171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist