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Il Hwan Park Chiropractic Clinic
Chiropractor in San Jose, California
NPI 1780069187

Il Hwan Park Chiropractic Clinic is a Chiropractor based in San Jose, CA. Il Hwan Park Chiropractic Clinic practices in San Jose, CA. The NPI Number for Il Hwan Park Chiropractic Clinic is 1780069187 and holds a License No. DC31167 (California).

The current practice location address for Il Hwan Park Chiropractic Clinic is 4155 Moorpark Avenue, San Jose, CA and can be reached out via phone at 408-249-0422 and via fax at 408-249-0430.

Location: 4155 Moorpark Avenue, San Jose, CA, 95117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780069187
Provider Name
Il Hwan Park Chiropractic Clinic
Credential
Provider Entity Type
Organization
Address
4155 Moorpark Avenue, San Jose, CA, 95117
Phone Number
408-249-0422
Fax Number
408-249-0430
Provider Enumeration Date
07/27/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CA123188 01 CA PTAN
CA123187 01 CA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
4155 Moorpark Avenue
City
San Jose
State
California
Zip
95117
Phone Number
408-249-0422
Fax Number
408-249-0430
person
Provider Business Mailing Address Details
Address
4155 Moorpark Avenue
City
San Jose
State
California
Zip
95117
Phone Number
408-249-0422
Fax Number
408-249-0430
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
DC31167 (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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