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:
Map and Directions
Authorized official contact:
Name: Fonseca, Manuel M. Doctor of Chiropractic (DC)
Phone: (415) 695-0654

Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043370265 NPPES
California MEDICAID DC0243640

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