Healthcare Provider Details

I. General information

NPI: 1760318703
Provider Name (Legal Business Name): MICHEAL COLEY DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21565 FOOTHILL BLVD
HAYWARD CA
94541-2145
US

IV. Provider business mailing address

17445 BOLLINGER CANYON RD UNIT 436
SAN RAMON CA
94582-3301
US

V. Phone/Fax

Practice location:
  • Phone: 510-398-8082
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number37283
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: