Healthcare Provider Details

I. General information

NPI: 1780427716
Provider Name (Legal Business Name): RAVEENA HANS JUNEJA DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RAVEENA HANS

II. Dates (important events)

Enumeration Date: 06/17/2024
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

97 DOBBINS ST STE B
VACAVILLE CA
95688-2700
US

IV. Provider business mailing address

97 DOBBINS ST STE B
VACAVILLE CA
95688-2700
US

V. Phone/Fax

Practice location:
  • Phone: 707-447-9885
  • Fax: 707-447-7372
Mailing address:
  • Phone: 707-447-9885
  • Fax: 707-447-7372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number35280
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: