Healthcare Provider Details

I. General information

NPI: 1265613988
Provider Name (Legal Business Name): LARRY SCHOW MASULA D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2007
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 SUNSET DR STE 2
HOLLISTER CA
95023-5613
US

IV. Provider business mailing address

901 SUNSET DR STE 2
HOLLISTER CA
95023-5613
US

V. Phone/Fax

Practice location:
  • Phone: 831-297-7034
  • Fax: 831-297-7019
Mailing address:
  • Phone: 831-297-7034
  • Fax: 831-297-7019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC-30721
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: