Healthcare Provider Details

I. General information

NPI: 1356717284
Provider Name (Legal Business Name): UNISON SPINE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2015
Last Update Date: 11/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 LAKESIDE DR SUITE 5
SUNNYVALE CA
94085-4090
US

IV. Provider business mailing address

4173 DE MILLE DR
SAN JOSE CA
95117-3102
US

V. Phone/Fax

Practice location:
  • Phone: 408-296-1189
  • Fax:
Mailing address:
  • Phone: 408-296-1189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateCA

VIII. Authorized Official

Name: DR. MELVIN S HSU
Title or Position: OWNER
Credential: D.C.
Phone: 408-296-1189