Provider Demographics
NPI:1528339553
Name:SILICON VALLEY INTEGRATIVE MUSCULOSKELETAL PARVINI CHIROPRACTIC INC.
Entity type:Organization
Organization Name:SILICON VALLEY INTEGRATIVE MUSCULOSKELETAL PARVINI CHIROPRACTIC INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SHERVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARVINI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:408-733-1900
Mailing Address - Street 1:820 E EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-2808
Mailing Address - Country:US
Mailing Address - Phone:650-969-4500
Mailing Address - Fax:650-969-4504
Practice Address - Street 1:820 E EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-2808
Practice Address - Country:US
Practice Address - Phone:650-969-4500
Practice Address - Fax:650-969-4504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-23
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-28588111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC-28588OtherCALIFORNIA STATE BOARD OF CHIROPRACTIC