=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295251015
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | REHL PRECISION STRUCTURAL CHIROPRACTIC CORP.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/15/2017
-----------------------------------------------------
Last Update Date | 12/26/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 523 47TH ST STE 205
-----------------------------------------------------
City | OAKLAND
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94609-2098
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-428-9288
-----------------------------------------------------
Fax | 510-428-9450
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 523 47TH ST STE 205
-----------------------------------------------------
City | OAKLAND
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94609-2098
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-428-9288
-----------------------------------------------------
Fax | 510-428-9450
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. PETER ALEXANDER REHL
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 510-428-9288
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 33352
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------