Active Life Medical Center in Redwood City - Chiropractor
Active Life Medical Center - NPI 1639392798
Active Life Medical Center is a Chiropractor in Redwood City, California. Active Life Medical Center practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Active Life Medical Center is 1639392798. The last update date is 2007-10-09.
Active Life Medical Center's current location address is 1391 Woodside Rd, Redwood City, California. You can contact this provider via phone number 6503657775 and fax number 3653657896. The mailing address for Active Life Medical Center is 1391 Woodside Rd, Redwood City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Active Life Medical Center |
|---|---|
| Address | 1391 Woodside Rd, Redwood City, California |
| Phone Number | 6503657775 |
| Fax Number | 3653657896 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Wong Kevin Harry |
| Credentials | DC |
| Telephone Number | 6503657775 |
NPI Number Detail
| NPI Number | 1639392798 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2007-10-09 |
Provider Mailing Address Detail
| Address | 1391 Woodside Rd |
|---|---|
| City | Redwood City |
| State | California (CA) |
| Post Code | 940613578 |
| Phone Number | 6503657775 |
| Fax Number | 3653657896 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 14813 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14813 | CA | LICENSE | |
| A69755 | CA | LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Active Life Medical Center by the Centers for Medicare & Medicaid Services (CMS)?
The Active Life Medical Center has been assigned the NPI (National Provider Identifier) 1639392798. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Active Life Medical Center is located?
The Active Life Medical Center is situated at the following address: 1391 Woodside Rd, Redwood City, CA, 940613578.
What is Active Life Medical Center'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 Active Life Medical Center is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Active Life Medical Center receive the assignment of its 1639392798 from the Centers for Medicare & Medicaid Services?
The Active Life Medical Center was issued its 1639392798 by the Centers for Medicare & Medicaid Services on 2007-04-10.
As of what date were the details pertaining to Active Life Medical Center last refreshed?
The information related to the Active Life Medical Center, including its address, specialty, and other relevant details, was last updated on 2007-10-09.