Provider Demographics
NPI:1699077198
Name:DUYFAITHHOANGLE CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:DUYFAITHHOANGLE CHIROPRACTIC, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DUY
Authorized Official - Middle Name:H
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:408-956-8266
Mailing Address - Street 1:995 MONTAGUE EXPY
Mailing Address - Street 2:SUITE 121
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-6851
Mailing Address - Country:US
Mailing Address - Phone:408-956-8266
Mailing Address - Fax:408-956-8226
Practice Address - Street 1:995 MONTAGUE EXPY
Practice Address - Street 2:SUITE 121
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-6851
Practice Address - Country:US
Practice Address - Phone:408-956-8266
Practice Address - Fax:408-956-8226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-03
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty