Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 224741 | CA |
NPI | 1033276969 |
---|---|
Provider Name | Dr. Val Svetich |
First Address | Fremont, CA 94536-3800 |
Second Address | Fremont, CA 94536-3800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2007 |
Last Update Date | 08/07/2007 |