Organization
DR. VIRGINIA HERNLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGINIA L HERNLY D.C. (OWNER/CHIROPRACTIC)
(650) 347-4443
Entity
Organization
Contact information
Practice address
205 E 3RD AVE STE 406, SAN MATEO, CA 94401-4050
(650) 347-4443
(650) 347-5783
Mailing address
205 E 3RD AVE STE 406, SAN MATEO, CA 94401-4050
(650) 347-4443
(650) 347-5783
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC15946
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467471151
TYPE I NPI
CA
Enumeration date
07/19/2012
Last updated
07/19/2012
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