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NPI Code Detail

MEDICARE: DR. MICHAEL LUDOVICO DC

MEDICARE: DR. MICHAEL LUDOVICO DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorDC25468CA

General Provider Information

NPI Number : 1295808186
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL LUDOVICO DC
Provider Business Mailing Address
First Line : 190 W 25TH AVE STE 4
Second Line :
City : SAN MATEO
State : CA
Zip : 94403-2272
Country : US
Telephone Number : 650-349-2222
Fax Number : 650-341-3415
Provider Business Practice Location Address
First Line : 190 W 25TH AVE STE 4
Second Line :
City : SAN MATEO
State : CA
Zip : 94403-2272
Country : US
Telephone Number : 650-349-2222
Fax Number : 650-341-3415
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2006
Last Update Date : 12/20/2011

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Directions to “ DR. MICHAEL LUDOVICO DC” Practice Location

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