MEDICARE: JOHN MARIAN D C

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	DC28399	CA

General Provider Information

NPI Number	:	1285828418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN MARIAN D C

Provider Business Mailing Address
First Line	:	14375 SARATOGA AVE.
Second Line	:	SARATOGA
City	:	SARATOGA
State	:	CA
Zip	:	95070-5978
Country	:	US
Telephone Number	:	408-872-1031
Fax Number	:	408-872-1074

Provider Business Practice Location Address
First Line	:	14375 SARATOGA AVE.
Second Line	:	SARATOGA
City	:	SARATOGA
State	:	CA
Zip	:	95070-5978
Country	:	US
Telephone Number	:	408-872-1031
Fax Number	:	408-872-1074

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2007
Last Update Date	:	03/12/2009

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Directions to “ JOHN MARIAN D C” Practice Location

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