Healthcare Provider Details

I. General information

NPI: 1598531428
Provider Name (Legal Business Name): CHIROPRACTIC OFFICE OF DR. JESSICA PAIGE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2023
Last Update Date: 01/02/2024
Certification Date: 01/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1620 WESTWOOD DR STE D
SAN JOSE CA
95125-5114
US

IV. Provider business mailing address

1620 WESTWOOD DR STE D
SAN JOSE CA
95125-5114
US

V. Phone/Fax

Practice location:
  • Phone: 408-385-1849
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JESSICA PAIGE
Title or Position: PRESIDENT
Credential: DC
Phone: 408-385-1849