Type | Company | [sources] | |||
---|---|---|---|---|---|
Name | Healthy Spine Chiropractic | [sources] | |||
Incorporation date | not available | [sources] | |||
Jurisdiction | not available | [sources] | |||
Country | United States | [sources] | |||
NPI | 1376603167 | [sources] | |||
Registration number | 28838 | [sources] | |||
Sector | Chiropractor | [sources] | |||
Address | 22539 2nd St., Hayward, CA · 402 West Harder Rd., Hayward, CA | [sources] | |||
Last change | Last processed | First seen |
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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Object | Role | Start date | End date | |
Phan, Melinda M. Debarred entity | - | - | - |