International Chiropractic Centre
LBN: International Chiropractic Centre
International Chiropractic Centre is an health care organization with primary practice located at 2588 Mission St Suite 201, San Francisco CA 94110-2592. The organization recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Rehabilitation, Chiropractic Providers / Sports Physician. Chiropractic Providers / Chiropractor is the primary health care specialty.
International Chiropractic Centre can be contacted via phone (415) 695-0654, or through Fonseca, Manuel M. via phone (415) 695-0654.
Contact Information
Primary practice address
2588 Mission St Suite 201
San Francisco CA 94110-2592
Phone: (415) 695-0654
Fax:
Website:
Authorized official contact:
Name: Fonseca, Manuel M. Doctor of Chiropractic (DC)
Phone: (415) 695-0654
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC24364 | California |
| Chiropractic Providers / Rehabilitation | 111NR0400X | DC24364 | California |
| Chiropractic Providers / Sports Physician | 111NS0005X | DC24364 | California |
Profile Details
| NPI number | 1043370265 |
|---|---|
| LBN Legal business name | International Chiropractic Centre |
| DBA Doing business as | |
| Authorized official | Fonseca, Manuel M. Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043370265 | NPPES |
| California | MEDICAID | DC0243640 |
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