Healthcare Provider Details
I. General information
NPI: 1457521288
Provider Name (Legal Business Name): SOMA CHIROPRACTIC & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/07/2008
Last Update Date: 03/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 BRANNAN ST STE 302
SAN FRANCISCO CA
94107-1869
US
IV. Provider business mailing address
300 BRANNAN ST STE 302
SAN FRANCISCO CA
94107-1869
US
V. Phone/Fax
- Phone: 415-979-9577
- Fax: 415-979-0392
- Phone: 415-979-9577
- Fax: 415-979-0392
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | DC29634 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NR0200X |
| Taxonomy | Radiology Chiropractor |
| License Number | DC29634 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
ALEJANDRO
FRANCESCHI
Title or Position: OWNER/PRESIDENT/CHIROPRACTOR
Credential: D.C.
Phone: 415-979-9577