Healthcare Provider Details
I. General information
NPI: 1679435762
Provider Name (Legal Business Name): HUA CHIROPRACTIC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/26/2025
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1088 BEECHER ST
SAN LEANDRO CA
94577-1250
US
IV. Provider business mailing address
1088 BEECHER ST
SAN LEANDRO CA
94577-1250
US
V. Phone/Fax
- Phone: 510-292-9177
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JARON
ANDREW
HUA
Title or Position: PRESIDENT
Credential: DC
Phone: 510-292-9177