| Coyle Chiropractic Corp. | |
|
3315 Almaden Expy Ste 20, San Jose, CA 95118-1557 | |
| (408) 264-6644 | |
| (408) 264-3515 |
| Full Name | Coyle Chiropractic Corp. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3315 Almaden Expy Ste 20, San Jose, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811916000 | NPI | - | NPPES |
| DC15169 | Other | CA | STATE LICENSE NUMBER |
| DC20945 | Other | CA | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC15169 (California) | Primary |
| 111N00000X | Chiropractor | DC20945 (California) | Secondary |
| 207R00000X | Internal Medicine | 20A6277 (California) | Secondary |
| Provider Name | Jeffrey J Coyle |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023103611 PECOS PAC ID: 6103803705 Enrollment ID: I20040701000840 |
| Provider Name | Yumi Okuwaki |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427181510 PECOS PAC ID: 0547506362 Enrollment ID: I20190115001770 |
| Provider Name | Huan Huan Ni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407362239 PECOS PAC ID: 1850625823 Enrollment ID: I20190625001805 |
| Provider Name | Abraham Hafiz Rodriguez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1851731616 PECOS PAC ID: 2567606924 Enrollment ID: I20200115000273 |
| Provider Name | Norris Hollie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932155298 PECOS PAC ID: 5395758825 Enrollment ID: I20200515002325 |
| Mailing Address | Practice Location Address |
|---|---|
| Coyle Chiropractic Corp. 3315 Almaden Expy Ste 20, San Jose, CA 95118-1557 Ph: (408) 264-6644 | Coyle Chiropractic Corp. 3315 Almaden Expy Ste 20, San Jose, CA 95118-1557 Ph: (408) 264-6644 |
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