Organization
DR. SCOTT NISSENBAUM CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT DAVID NISSENBAUM D.C. (OWNER)
(650) 226-8348
Entity
Organization
Contact information
Practice address
1100 LAUREL ST STE D, SAN CARLOS, CA 94070-5000
(650) 226-8348
(650) 666-6747
Mailing address
1100 LAUREL ST STE D, SAN CARLOS, CA 94070-5000
(650) 226-8348
(650) 666-6747
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
31093
CA
Other
Enumeration date
04/26/2013
Last updated
05/19/2020
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