Healthcare Provider Details

I. General information

NPI: 1255270963
Provider Name (Legal Business Name): JOAQUIN AVELINO DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 S MAIN ST
MILPITAS CA
95035-5302
US

IV. Provider business mailing address

1812 PARK AVE APT 1
SAN JOSE CA
95126-1630
US

V. Phone/Fax

Practice location:
  • Phone: 408-519-2269
  • Fax:
Mailing address:
  • Phone: 925-325-7571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number37291
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: