Healthcare Provider Details

I. General information

NPI: 1982363727
Provider Name (Legal Business Name): PENINSULA RSI CHIROPRACTIC WELLNESS CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2021
Last Update Date: 12/09/2021
Certification Date: 12/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 MAIN ST STE A
REDWOOD CITY CA
94063-1733
US

IV. Provider business mailing address

260 MAIN ST STE A
REDWOOD CITY CA
94063-1733
US

V. Phone/Fax

Practice location:
  • Phone: 650-599-9868
  • Fax: 650-599-9068
Mailing address:
  • Phone: 650-599-9868
  • Fax: 650-599-9068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DANA M ROBINSON
Title or Position: CHIROPRACTOR/ CLINIC DIRECTOR
Credential: DC
Phone: 650-599-9868