Organization
LOYOLA CHIROPRACTIC, DR. BOLLMAN & DR. MARTIN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMBER JO BOLLMAN D.C. (PRESIDENT)
(408) 599-4637
Entity
Organization
Contact information
Practice address
1000 FREMONT AVE STE 155, LOS ALTOS, CA 94024-6049
(408) 773-9165
Mailing address
1000 FREMONT AVE STE 155, LOS ALTOS, CA 94024-6049
(408) 773-9165
Taxonomy
Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
Primary
—
—
111NS0005X
Sports Physician Chiropractor
—
—
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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