# PHAN CHIROPRACTIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093073462
- **Authorized official:** DR. GIA-HUNG LONG PHAN D.C (DOCTOR/OWNER)
- **Authorized official phone:** (408) 528-9000

## Contact information

- **Practice address:** 2470 ALVIN AVE., SUITE 30, SAN JOSE, CA 95121-1664
- **Practice address phone:** (408) 528-9000
- **Practice address fax:** (408) 528-9008
- **Mailing address:** 2470 ALVIN AVE, SUITE 30, SAN JOSE, CA 95121-1664
- **Mailing address phone:** (408) 528-9000
- **Mailing address fax:** (408) 528-9008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | DC29087 | CA | Yes |

## Other

- **Enumeration date:** 04/24/2012
- **Last updated:** 04/24/2012