Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 22124 | CA |
NPI | 1699071563 |
---|---|
Provider Name | Dr. Loree Pinnavaia |
First Address | Los Gatos, CA 95032-2547 |
Second Address | Los Gatos, CA 95032-2547 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2011 |
Last Update Date | 09/02/2011 |