MEDICARE: BEST CHIROPRACTIC CENTER, JOSHUA PARK, PC

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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1366941023
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST CHIROPRACTIC CENTER, JOSHUA PARK, PC

Provider Business Mailing Address
First Line	:	5257 STEVENS CREEK BLVD
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95051-6664
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5257 STEVENS CREEK BLVD
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95051-6664
Country	:	US
Telephone Number	:	408-260-9900
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JOSHUA PARK
Credential	:
Telephone Number	:	408-260-9900

Provider Enumeration Date	:	02/08/2018
Last Update Date	:	02/08/2018

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