Organization
BASISTA & LAU CHIROPRACTIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID W BASISTA (PRESIDENT)
(408) 363-1991
Entity
Organization
Contact information
Practice address
6940 SANTA TERESA BLVD, SUITE 2, SAN JOSE, CA 95119-1345
(408) 363-1991
(408) 363-1989
Mailing address
6940 SANTA TERESA BLVD, SUITE 2, SAN JOSE, CA 95119-1345
(408) 363-1991
(408) 363-1989
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC21229
CA
Other
Enumeration date
06/04/2010
Last updated
11/21/2023
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