Healthcare Provider Details

I. General information

NPI: 1497116008
Provider Name (Legal Business Name): VUONG CHIROPRACTIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2016
Last Update Date: 03/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3005 SILVER CREEK RD SUITE 124
SAN JOSE CA
95121-1789
US

IV. Provider business mailing address

3005 SILVER CREEK RD SUITE 124
SAN JOSE CA
95121-1789
US

V. Phone/Fax

Practice location:
  • Phone: 408-225-5263
  • Fax: 408-882-6291
Mailing address:
  • Phone: 408-225-5263
  • Fax: 408-882-6291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC29018
License Number StateCA

VIII. Authorized Official

Name: DR. DAO VUONG
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 408-225-5263