Healthcare Provider Details

I. General information

NPI: 1336391267
Provider Name (Legal Business Name): VICTORIA CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2008
Last Update Date: 03/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 N PARK VICTORIA DR SUITE M
MILPITAS CA
95035-4600
US

IV. Provider business mailing address

53 CRONIN DR
SANTA CLARA CA
95051-6719
US

V. Phone/Fax

Practice location:
  • Phone: 408-263-4599
  • Fax: 408-263-4599
Mailing address:
  • Phone: 408-263-4599
  • Fax: 408-263-4599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MR. DAMON CHARLES FRACH
Title or Position: OFFICE/BILLING MANAGER
Credential: OFFICE MANAGER
Phone: 408-984-2455