Healthcare Provider Details

I. General information

NPI: 1366180028
Provider Name (Legal Business Name): SINHA AND CABANAS CHIROPRACTIC PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2022
Last Update Date: 05/23/2022
Certification Date: 05/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16795 LARK AVE STE 101
LOS GATOS CA
95032-7691
US

IV. Provider business mailing address

16795 LARK AVE STE 101
LOS GATOS CA
95032-7691
US

V. Phone/Fax

Practice location:
  • Phone: 408-442-5975
  • Fax: 669-240-7840
Mailing address:
  • Phone: 408-442-5975
  • Fax: 669-240-7840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. AYUSHI SINHA
Title or Position: PRESIDENT
Credential: DC
Phone: 510-304-2810