Healthcare Provider Details

I. General information

NPI: 1184034571
Provider Name (Legal Business Name): TRUE CARE WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2014
Last Update Date: 05/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 SARATOGA AVE SUITE D
SAN JOSE CA
95129-2000
US

IV. Provider business mailing address

606 SARATOGA AVE SUITE D
SAN JOSE CA
95129-2000
US

V. Phone/Fax

Practice location:
  • Phone: 408-983-0908
  • Fax:
Mailing address:
  • Phone: 408-983-0908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC29344
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC10702
License Number StateCA

VIII. Authorized Official

Name: MR. RUSSELL YEH
Title or Position: MANAGER
Credential:
Phone: 408-888-5669