Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 17328 | CA |
N | 111NS0005X | Chiropractic Sports Physician | 17328 | CA |
N | 111NX0100X | Occupational Health | 17328 | CA |
NPI | 1447346861 |
---|---|
Provider Name | Dr. Daniel Vincent Kitamura-Tintor |
First Address | Redwood City, CA 94062-1531 |
Second Address | Redwood City, CA 94062-1531 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 08/07/2007 |