Organization Name: | PENINSULA SPINE & SPORTS REHAB, A ROMMEL HINDOCHA CHIROPRACTIC CORP. |
NPI Number: | 1548599145 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROMMEL HINDOCHA (PRESIDENT/OWNER) |
Mailing Address: | 101 S San Mateo Dr Suite 200 San Mateo |
State: | CA US |
Postal Code: | 944013819 |
Phone Number: | 6503472225 |
Fax Number: | 6502428802 |
NPI Enumeration Date: | 12/10/2009 |
NPI Last Update Date: | 12/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC-28240 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy 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. |