Organization · NPI-2

100 Chiro Livingood Hora PC INC Apc

Chiropractor · San Jose, CA

NPI number1336866920
StatusActive
Last updated in NPPESNov 29, 2022

Details

NPI
1336866920
Entity type
Organization (NPI-2)
Legal business name
100 Chiro Livingood Hora PC INC Apc
Organization subpart
No
Enumeration date
Oct 24, 2022
Certification date
Nov 29, 2022
Last updated
Nov 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor––Yes

Practice location

1411 Berryessa Rd Unit 40
San Jose, CA 95133-1014

Phone 669-263-6971 · Fax 669-263-6955

Mailing address

1411 Berryessa Rd Unit 40
San Jose, CA 95133-1014

Phone 669-263-6971

Authorized official

Brandon Livingood
Owner
7192170895

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