Provider Demographics
NPI:1811126725
Name:CHIROPRACTIC HEALTH PLAN OF CALIFORNIA, INC.
Entity type:Organization
Organization Name:CHIROPRACTIC HEALTH PLAN OF CALIFORNIA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:CATALDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-844-3100
Mailing Address - Street 1:PO BOX 190
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:CA
Mailing Address - Zip Code:94517-0190
Mailing Address - Country:US
Mailing Address - Phone:925-844-3100
Mailing Address - Fax:
Practice Address - Street 1:5356 CLAYTON RD STE 201
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94521-3200
Practice Address - Country:US
Practice Address - Phone:925-844-3100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-13
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
No302F00000XManaged Care OrganizationsExclusive Provider Organization