Kornelius Tjandra Subadya in Alhambra - Chiropractor

Kornelius Tjandra Subadya - NPI 1104984798

Kornelius Tjandra Subadya is a Chiropractor in Alhambra, California. Kornelius Tjandra Subadya practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kornelius Tjandra Subadya is 1104984798. The last update date is 2007-07-08.

Kornelius Tjandra Subadya's current location address is 1014 S Garfield Ave, Alhambra, California. You can contact this provider via phone number 6265761234. The mailing address for Kornelius Tjandra Subadya is 1014 S Garfield Ave, Alhambra, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kornelius Tjandra Subadya
Address 1014 S Garfield Ave, Alhambra, California
Phone Number 6265761234
Fax Number
Sole Proprietor Y
Credentials DC

NPI Number Detail

NPI Number 1104984798
Provider Enumeration Date 2006-12-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1014 S Garfield Ave
City Alhambra
State California (CA)
Post Code 918014709
Phone Number 6265761234
Fax Number

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 16548
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

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FAQs about Kornelius Tjandra Subadya

What is the unique 10-digit identification code assigned to Kornelius Tjandra Subadya by the Centers for Medicare & Medicaid Services?

The Kornelius Tjandra Subadya has been issued the NPI (National Provider Identifier) 1104984798, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Kornelius Tjandra Subadya's facilities are situated?

The facilities of Kornelius Tjandra Subadya are physically located at the following address: 1014 S Garfield Ave, Alhambra, CA, 918014709.

What is Kornelius Tjandra Subadya's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kornelius Tjandra Subadya is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.

When did the Kornelius Tjandra Subadya receive its 1104984798?

The Kornelius Tjandra Subadya was issued its 1104984798 on 2006-12-05, which is the date when the organization was assigned this unique identifier.

When was the Kornelius Tjandra Subadya's information last updated?

The Kornelius Tjandra Subadya's information was last updated on 2007-07-08.

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