Healthcare Provider Details

I. General information

NPI: 1558093583
Provider Name (Legal Business Name): BRANDEN SINGH KAPUR DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2022
Last Update Date: 06/28/2022
Certification Date: 06/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 E EL CAMINO REAL
MOUNTAIN VIEW CA
94040-2808
US

IV. Provider business mailing address

820 E EL CAMINO REAL
MOUNTAIN VIEW CA
94040-2808
US

V. Phone/Fax

Practice location:
  • Phone: 650-969-4500
  • Fax:
Mailing address:
  • Phone: 650-969-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number35122
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: