Provider Demographics
NPI:1528233640
Name:JINDAL CHIROPRACTIC INC.
Entity type:Organization
Organization Name:JINDAL CHIROPRACTIC INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:VID
Authorized Official - Middle Name:
Authorized Official - Last Name:JINDAL
Authorized Official - Suffix:
Authorized Official - Credentials:DC, CCSP
Authorized Official - Phone:408-730-1991
Mailing Address - Street 1:939 W EL CAMINO REAL
Mailing Address - Street 2:SUITE 113
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-6108
Mailing Address - Country:US
Mailing Address - Phone:408-730-1991
Mailing Address - Fax:408-864-2168
Practice Address - Street 1:939 W EL CAMINO REAL
Practice Address - Street 2:SUITE 113
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-6108
Practice Address - Country:US
Practice Address - Phone:408-730-1991
Practice Address - Fax:408-864-2168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30460111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty