MEDICARE: VALLEY CHIROPRACTIC SF, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1023706348
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY CHIROPRACTIC SF, INC.

Provider Business Mailing Address
First Line	:	1326 CHURCH ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-3912
Country	:	US
Telephone Number	:	415-550-1200
Fax Number	:	415-550-1243

Provider Business Practice Location Address
First Line	:	1326 CHURCH ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-3912
Country	:	US
Telephone Number	:	415-550-1200
Fax Number	:	415-550-1243

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CLAUDIA KINDLER
Credential	:	DC
Telephone Number	:	415-550-1200

Provider Enumeration Date	:	04/25/2023
Last Update Date	:	04/27/2023

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