Healthcare Provider Details

I. General information

NPI: 1730334160
Provider Name (Legal Business Name): ADVANCED WELLNESS H.E.L.P. GRINGERI CHIROPRACTIC CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2008
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3461 PICADILLY DR
SAN JOSE CA
95118-1551
US

IV. Provider business mailing address

3461 PICADILLY DR
SAN JOSE CA
95118-1551
US

V. Phone/Fax

Practice location:
  • Phone: 408-663-3862
  • Fax:
Mailing address:
  • Phone: 408-663-3862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC18429
License Number StateCA

VIII. Authorized Official

Name: LYNN MAY
Title or Position: OFFICE MANAGER
Credential:
Phone: 408-663-3862