Healthcare Provider Details

I. General information

NPI: 1437466901
Provider Name (Legal Business Name): RADIANT CHIROPRACTIC AND ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2010
Last Update Date: 02/01/2024
Certification Date: 07/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 W. REMINGTON DR. STE 120
SUNNYVALE CA
94087
US

IV. Provider business mailing address

525 W. REMINGTON DR. STE 120
SUNNYVALE CA
94087
US

V. Phone/Fax

Practice location:
  • Phone: 408-749-1558
  • Fax: 408-749-0928
Mailing address:
  • Phone: 408-749-1558
  • Fax: 408-749-0928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC 29274
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 12302
License Number StateCA

VIII. Authorized Official

Name: DR. TONY M. WOO
Title or Position: OWNER
Credential: DC, LAC
Phone: 408-749-1558