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Ishan Balthazar Vest, DC
Chiropractor in Daly City, California
NPI 1013004571

Ishan Balthazar Vest is a Chiropractor based in Daly City, CA. Ishan Balthazar Vest practices in Daly City, CA and has the professional credentials of DC. The NPI Number for Ishan Balthazar Vest is 1013004571 and holds a License No. 18679 (California).

The current practice location address for Ishan Balthazar Vest is 550 Washington St, Daly City, CA and can be reached out via phone at 650-994-4455 and via fax at 650-994-7534.

Location: 550 Washington St, Daly City, CA, 94015-1908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013004571
Provider Name
Ishan Balthazar Vest
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
550 Washington St, Daly City, CA, 94015-1908
Phone Number
650-994-4455
Fax Number
650-994-7534
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DC0186790 01 CA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
550 Washington St
City
Daly City
State
California
Zip
94015-1908
Phone Number
650-994-4455
Fax Number
650-994-7534
person
Provider Business Mailing Address Details
Address
550 Washington St
City
Daly City
State
California
Zip
94015-1908
Phone Number
650-994-4455
Fax Number
650-994-7534
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
18679 (California)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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