| Charonis Chiropractic Corporation | |
|
1682 Laurel St, Suite A, San Carlos, CA 94070-5217 | |
| (650) 631-1500 | |
| (650) 631-1504 |
| Full Name | Charonis Chiropractic Corporation |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1682 Laurel St, San Carlos, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902082902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC27902 (California) | Primary |
| 207Q00000X | Family Medicine | A91713 (California) | Secondary |
| Provider Name | Angelo G Charonis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407943251 PECOS PAC ID: 9234326299 Enrollment ID: I20101203000386 |
| Mailing Address | Practice Location Address |
|---|---|
| Charonis Chiropractic Corporation 1682 Laurel St, Suite A, San Carlos, CA 94070-5217 Ph: (650) 631-1500 | Charonis Chiropractic Corporation 1682 Laurel St, Suite A, San Carlos, CA 94070-5217 Ph: (650) 631-1500 |
Dr. Lisha Mainz, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 790 Laurel St Ste 15, San Carlos, CA 94070 Phone: 650-595-0203 | |
Mr. Nicholas John Athens, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 951 Industrial Rd, Suite B, San Carlos, CA 94070 Phone: 650-593-4447 Fax: 650-593-5071 | |
Dr. Gladys Minet Sepulveda, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 767 Industrial Rd, San Carlos, CA 94070 Phone: 415-547-0566 | |
Dr. Kevin Tomassini Velez, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1200 Brittan Ave, San Carlos, CA 94070 Phone: 650-591-1002 | |
Dr. Anh-tu Thuy Vu, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1168 El Camino Real, San Carlos, CA 94070 Phone: 650-802-8700 Fax: 650-802-8712 | |
Dr. Scott Nissenbaum Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1100 Laurel St, Suite B, San Carlos, CA 94070 Phone: 650-226-8348 | |
Dr. Scott Nissenbaum Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1100 Laurel St Ste D, San Carlos, CA 94070 Phone: 650-226-8348 Fax: 650-666-6747 |