Organization
DR. SCOTT NISSENBAUM CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT DAVID NISSENBAUM D.C. (MEMBER)
(650) 226-8348
Entity
Organization
Contact information
Practice address
1100 LAUREL ST, SUITE B, SAN CARLOS, CA 94070-5000
(650) 226-8348
Mailing address
1100 LAUREL ST, SUITE B, SAN CARLOS, CA 94070-5000
(650) 226-8348
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CA-31093
CA
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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