Organization
HEALTH LOGIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RIKKE JOHANSEN D.C. (CEO/PARTNER)
(650) 853-1800
Entity
Organization
Contact information
Practice address
633 MENLO AVE, SUITE 100, MENLO PARK, CA 94025-4711
(650) 853-1800
(650) 853-1801
Mailing address
633 MENLO AVE, SUITE 100, MENLO PARK, CA 94025-4711
(650) 853-1800
(650) 853-1801
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
22727
CA
Other
Enumeration date
12/10/2011
Last updated
10/06/2012
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