MEDICARE: DR. JIM HIRAMINE 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	DC 14396	CA

General Provider Information

NPI Number	:	1992997092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JIM HIRAMINE D.C.

Provider Business Mailing Address
First Line	:	PO BOX 482
Second Line	:
City	:	DANVILLE
State	:	CA
Zip	:	94526-0482
Country	:	US
Telephone Number	:	925-820-4545
Fax Number	:	925-820-4546

Provider Business Practice Location Address
First Line	:	822 HARTZ WAY
Second Line	:	SUITE 108
City	:	DANVILLE
State	:	CA
Zip	:	94526-3433
Country	:	US
Telephone Number	:	925-820-4545
Fax Number	:	925-820-4546

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

Provider Enumeration Date	:	08/13/2007
Last Update Date	:	10/05/2009

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