| The Source Chiropractic | |
|
4157 Piedmont Ave, Oakland, CA 94611-5109 | |
| (510) 457-5874 | |
| Not Available |
| Full Name | The Source Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4157 Piedmont Ave, Oakland, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417376997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC32767 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| The Source Chiropractic 4157 Piedmont Ave, Oakland, CA 94611-5109 Ph: (510) 457-5874 | The Source Chiropractic 4157 Piedmont Ave, Oakland, CA 94611-5109 Ph: (510) 457-5874 |
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