Healthcare Provider Details

I. General information

NPI: 1316876592
Provider Name (Legal Business Name): LIONHEART CHIROPRACTIC AND FUNCTIONAL HEALTH, GRAHAM, PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

710 RIVER ST STE 5
SANTA CRUZ CA
95060-2748
US

IV. Provider business mailing address

710 RIVER ST STE 5
SANTA CRUZ CA
95060-2748
US

V. Phone/Fax

Practice location:
  • Phone: 831-515-9004
  • Fax:
Mailing address:
  • Phone: 831-515-9004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. CHERYL GRAHAM
Title or Position: DOCTOR OF CHIROPRACTIC/ CEO
Credential: DC, FMACP
Phone: 831-566-6597