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NPI Code Detail

MEDICARE: JANAL ANN SAMPANG

MEDICARE:   JANAL ANN SAMPANG
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
1111N00000XChiropractorDC37303CA

General Provider Information

NPI Number : 1699564591
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANAL ANN SAMPANG
Provider Business Mailing Address
First Line : 12 RAVILLA CT
Second Line :
City : DALY CITY
State : CA
Zip : 94014-1328
Country : US
Telephone Number : 415-518-8011
Fax Number :
Provider Business Practice Location Address
First Line : 190 W 25TH AVE STE 4
Second Line :
City : SAN MATEO
State : CA
Zip : 94403-2272
Country : US
Telephone Number : 650-349-2222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2025
Last Update Date : 05/06/2025

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Directions to “ JANAL ANN SAMPANG ” Practice Location

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