Healthcare Provider Details

I. General information

NPI: 1992935407
Provider Name (Legal Business Name): JAMES CHRISTOPHER GOOD D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2009
Last Update Date: 06/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4133 MOHR AVENUE SUITE I
PLEASANTON CA
94566-4150
US

IV. Provider business mailing address

4133 MOHR AVENUE SUITE I
PLEASANTON CA
94566-4150
US

V. Phone/Fax

Practice location:
  • Phone: 925-462-4698
  • Fax: 925-600-1867
Mailing address:
  • Phone: 925-462-4698
  • Fax: 925-600-1867

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC25330
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: