Healthcare Provider Details

I. General information

NPI: 1700680584
Provider Name (Legal Business Name): HOANG PHAM CHIROPRACTIC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2025
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3979 24TH ST
SAN FRANCISCO CA
94114-3703
US

IV. Provider business mailing address

3979 24TH ST
SAN FRANCISCO CA
94114-3703
US

V. Phone/Fax

Practice location:
  • Phone: 415-775-7500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: HOANG PHAM
Title or Position: OWNER
Credential: DC
Phone: 510-329-2974