Provider Demographics
NPI:1487952115
Name:DANH, JASMINE HUONG (DC)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:HUONG
Last Name:DANH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 9TH ST STE 103
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-4428
Mailing Address - Country:US
Mailing Address - Phone:510-509-0170
Mailing Address - Fax:
Practice Address - Street 1:212 9TH ST STE 103
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-4428
Practice Address - Country:US
Practice Address - Phone:510-509-0170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-03
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31843111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor