Provider Demographics
NPI:1407046055
Name:VILAND, THOMAS LESLIE (DC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:LESLIE
Last Name:VILAND
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:150 LOMBARD ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-1139
Mailing Address - Country:US
Mailing Address - Phone:415-421-1115
Mailing Address - Fax:415-421-1116
Practice Address - Street 1:150 LOMBARD ST
Practice Address - Street 2:SUITE 2
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-1139
Practice Address - Country:US
Practice Address - Phone:415-421-1115
Practice Address - Fax:415-421-1116
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14794111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor