IL HWAN PARK CHIROPRACTIC CLINIC (NPI# 1780069187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780069187 |
| Entity Type | Organization |
| Organization Name | IL HWAN PARK CHIROPRACTIC CLINIC |
| Other Organization Name | BEST SPINE CHIROPRACTIC CLINIC |
| Practice Address |
4155 Moorpark Avenue Suite 1 San Jose CA 95117 |
| Practice Telephone | 4082490422 |
| Practice Fax Number | 4082490430 |
| Mailing Telephone | 4082490422 |
| Mailing Fax Number | 4082490430 |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |
| Authorized Official Name | MS. TINA PHAM (ADMINISTRATOR) |
| Authorized Official Telephone | 4082490422 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC31167 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | CA123187 | 01 |
| CA | PTAN | CA123188 | 01 |
| Other Name | Type Code |
|---|---|
| BEST SPINE CHIROPRACTIC CLINIC | Doing Business As Name - Organization |
| Street Address |
4155 MOORPARK AVENUE SUITE 1 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154978385 | Rebecca Giordano St George | Marriage & Family Therapist | 390 Spar Avenue Suite 106, San Jose, CA 95117 | 2019-08-22 |
| 1760035067 | Na Bao Inc | Acupuncturist | 631 Rebecca Way, Apt D, San Jose, CA 95117 | 2019-07-17 |
| 1801364823 | Acupuncture & Healing Inc | Acupuncturist | 4155 Moorpark Ave Ste #13, San Jose, CA 95117 | 2018-11-07 |
| 1689199770 | Youngsu Lyu | Chiropractor | 4010 Moorpark Ave Ste 109, San Jose, CA 95117 | 2017-08-09 |
| 1790139137 | January Villarreal | Speech-Language Pathologist | 4010 Moorpark Ave. #117, San Jose, CA 95117 | 2016-04-22 |
| 1285077073 | John Lockhart Mcelroy | Family Medicine | 3578 Moultrie Ave., San Diego, CA 95117 | 2013-04-10 |
| 1801134036 | Min Jung Kang | Acupuncturist | 4155 Moorpark Ave Ste 20, San Jose, CA 95117 | 2013-01-23 |
| 1356574420 | Scott Svendsen | Chiropractor | 3531 Stevens Creek Blvd., San Jose, CA 95117 | 2009-08-24 |
| 1316191893 | Christopher Corsa | Dentist | 4010 Moorpark Ave Ste 105, San Jose, CA 95117 | 2008-11-10 |
| 1487821765 | Ventsislav Lazarov | Dentist | 4155 Moopark Ave. Ste.17, San Jose, CA 95117 | 2008-05-14 |
| Find all providers in zip 95117 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556218 | Mandy Wong | Chiropractor | 3058 Marston Way, San Jose, CA 95148-3118 | 2020-10-22 |
| 1629688619 | Deepak Rattu | Chiropractor | 1754 Technology Dr Ste 120g, San Jose, CA 95110-1308 | 2020-08-04 |
| 1902423247 | Ernest Luong | Chiropractor | 360 Kiely Blvd Ste 215, San Jose, CA 95129-1300 | 2020-07-02 |
| 1518597681 | Kevin Tri Lam | Chiropractor | 508 Senter Ct, San Jose, CA 95111-3634 | 2020-01-17 |
| 1295370823 | Elise Leung | Chiropractor | 4323 Moorpark Ave Ste A, San Jose, CA 95129-2075 | 2019-11-06 |
| 1871155291 | Jee Won Suh | Chiropractor | 1645 Willow St Ste 100, San Jose, CA 95125-5112 | 2019-07-05 |
| 1174183610 | Kathy Huynh | Chiropractor | 1261 Lincoln Ave Ste 113, San Jose, CA 95125-3030 | 2019-06-17 |
| 1700441045 | Calvin Patrick Nell | Chiropractor | 5570 Sanchez Drive, Ste 100, San Jose, CA 95123 | 2019-05-02 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| 1386118560 | Yang Hsiang | Chiropractor | 1733 Chesterton Cir, San Jose, CA 95133-1534 | 2019-01-22 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.