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NPI Code Detail

MEDICARE: FUDENNA APEX PERFORMANCE CHIROPRACTIC CORPORATION

MEDICARE: FUDENNA APEX PERFORMANCE CHIROPRACTIC CORPORATION
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1417601683
Entity Type Code : Organization
Provider Name (Legal Business Name) : FUDENNA APEX PERFORMANCE CHIROPRACTIC CORPORATION
Provider Business Mailing Address
First Line : 30 E SAN JOAQUIN ST STE 102
Second Line :
City : SALINAS
State : CA
Zip : 93901-2946
Country : US
Telephone Number : 831-422-2562
Fax Number :
Provider Business Practice Location Address
First Line : 30 E SAN JOAQUIN ST STE 102
Second Line :
City : SALINAS
State : CA
Zip : 93901-2946
Country : US
Telephone Number : 831-422-2562
Fax Number :
Authorized Official
Title or Position : CHIROPRACTOR/OWNER
Name : KODY TAKEO FUDENNA
Credential :
Telephone Number : 831-320-3945
Provider Enumeration Date : 02/07/2022
Last Update Date : 04/07/2026

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Directions to “FUDENNA APEX PERFORMANCE CHIROPRACTIC CORPORATION ” Practice Location

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