Healthcare Provider Details

I. General information

NPI: 1447081674
Provider Name (Legal Business Name): SEPTIMIU COROIANU DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2024
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 SARATOGA AVE STE 260
SANTA CLARA CA
95050-6670
US

IV. Provider business mailing address

275 SARATOGA AVE STE 260
SANTA CLARA CA
95050-6670
US

V. Phone/Fax

Practice location:
  • Phone: 408-241-1777
  • Fax: 408-241-1771
Mailing address:
  • Phone: 408-241-1777
  • Fax: 408-241-1771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC36660
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: