| Life Chiropractic College West | |
|
25001 Industrial Blvd, Hayward, CA 94545-2801 | |
| (510) 780-4567 | |
| (510) 780-4567 |
| Full Name | Life Chiropractic College West |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 25001 Industrial Blvd, Hayward, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376615807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (California) | Primary |
| Provider Name | Koen Kallop |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508931460 PECOS PAC ID: 1557356474 Enrollment ID: I20040419001202 |
| Provider Name | Janet L Wesdorf |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629102009 PECOS PAC ID: 6800878349 Enrollment ID: I20040607001042 |
| Provider Name | Lauren Clum |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316150311 PECOS PAC ID: 6608923644 Enrollment ID: I20090409000177 |
| Provider Name | Susan V Goodwin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1447279450 PECOS PAC ID: 0547385536 Enrollment ID: I20100914001090 |
| Provider Name | Kathleen M Kinney |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689717324 PECOS PAC ID: 2264688563 Enrollment ID: I20120810000206 |
| Provider Name | Susan R Hilliker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962405068 PECOS PAC ID: 4082653985 Enrollment ID: I20120813000120 |
| Provider Name | Douglas S Bell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992845853 PECOS PAC ID: 0244486918 Enrollment ID: I20120813000181 |
| Provider Name | Herbert M Bell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104349455 PECOS PAC ID: 0143595553 Enrollment ID: I20171011002673 |
| Provider Name | Steven Edwards |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760568034 PECOS PAC ID: 4981979135 Enrollment ID: I20171013002268 |
| Provider Name | Paula M Edwards |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1972021418 PECOS PAC ID: 4183990286 Enrollment ID: I20171017002470 |
| Provider Name | Richard M Hall |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003908021 PECOS PAC ID: 6305295676 Enrollment ID: I20231212001930 |
| Mailing Address | Practice Location Address |
|---|---|
| Life Chiropractic College West 25001 Industrial Blvd, Hayward, CA 94545-2801 Ph: (510) 780-4567 | Life Chiropractic College West 25001 Industrial Blvd, Hayward, CA 94545-2801 Ph: (510) 780-4567 |
Dr. Tamara Lee Macintyre, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 25001 Industrial Blvd, Hayward, CA 94545 Phone: 510-780-4500 Fax: 510-780-4511 | |
Dr. Mandy Marlene Jobe Mcmanis, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 22316 Main St, Hayward, CA 94541 Phone: 510-899-1432 Fax: 510-889-1448 | |
Melissa Edith Rodriguez, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 21565 Foothill Blvd, Hayward, CA 94541 Phone: 714-889-9984 | |
Dr. Andy T Truongvinh, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 21524 Foothill Blvd, Hayward, CA 94541 Phone: 510-461-0331 Fax: 510-537-6339 | |
Dr. Gregory Stephen Olberg, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 22791 Foothill Blvd, Hayward, CA 94541 Phone: 510-886-6060 Fax: 510-886-6162 | |
Dr. Ebony Latrice-sherie Harrison-mckinnies, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 24700 Calaroga Ave, Ste. 102, Hayward, CA 94545 Phone: 510-785-4343 Fax: 510-785-4333 | |
Rebekah Boron-trotter, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1157 Martin Luther King Dr, Hayward, CA 94541 Phone: 209-663-1498 |