Provider Demographics
NPI:1699909788
Name:ADVANCED WELLNESS H.E.L.P. GRINGERI CHIROPRACTIC CORP
Entity type:Organization
Organization Name:ADVANCED WELLNESS H.E.L.P. GRINGERI CHIROPRACTIC CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:GRINGERI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:408-984-7444
Mailing Address - Street 1:1171 HOMESTEAD RD STE 160
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-5483
Mailing Address - Country:US
Mailing Address - Phone:408-984-7444
Mailing Address - Fax:408-984-5437
Practice Address - Street 1:1171 HOMESTEAD RD STE 160
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-5483
Practice Address - Country:US
Practice Address - Phone:408-984-7444
Practice Address - Fax:408-984-5437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-05
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC18429111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty