Healthcare Provider Details
I. General information
NPI: 1477695757
Provider Name (Legal Business Name): H&H AIONA CHIROPRACTIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
39500 FREMONT BLVD STE-200
FREMONT CA
94538-2119
US
IV. Provider business mailing address
39500 FREMONT BLVD STE-200
FREMONT CA
94538-2119
US
V. Phone/Fax
- Phone: 510-438-0294
- Fax: 510-438-0468
- Phone: 510-438-0294
- Fax: 510-438-0468
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0100X |
| Taxonomy | Health Service Clinic/Center |
| License Number | DC21213 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
PONO
VICTOR
AIONA
Title or Position: PRESIDENT
Credential: D.C.
Phone: 510-438-0294