Healthcare Provider Details

I. General information

NPI: 1558486142
Provider Name (Legal Business Name): CHRISTOPHER H SIM DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1470 HALFORD AVE
SANTA CLARA CA
95051-3205
US

IV. Provider business mailing address

1470 HALFORD AVE
SANTA CLARA CA
95051-3205
US

V. Phone/Fax

Practice location:
  • Phone: 408-260-7575
  • Fax: 408-556-6773
Mailing address:
  • Phone: 408-260-7575
  • Fax: 408-556-6773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC25931
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: