Healthcare Provider Details

I. General information

NPI: 1073835690
Provider Name (Legal Business Name): QUARNERI CHIROPRACTIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2010
Last Update Date: 02/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

177 BOVET RD SUITE 150
SAN MATEO CA
94402-3116
US

IV. Provider business mailing address

177 BOVET RD SUITE 150
SAN MATEO CA
94402-3116
US

V. Phone/Fax

Practice location:
  • Phone: 650-375-2545
  • Fax: 650-655-6611
Mailing address:
  • Phone: 650-375-2545
  • Fax: 650-655-6611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number24755
License Number StateCA

VIII. Authorized Official

Name: DR. PAUL QUARNERI
Title or Position: PRESIDENT
Credential: D.C.
Phone: 650-375-2545