Individual provider · Type 1 NPI

Jack Martin Bourla, DC

Chiropractor · Redwood City, CA

NPI number 1013055755 Active

Practice location

499 Seaport Ct, Suite 101
Redwood City, CA 94063-2783

Call (650) 365-1473 Map

Fax (650) 365-1474

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC25312 (CA)

Chiropractor: 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 interrelationship with other body systems.

2 other providers at this address

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About NPI 1013055755

Jack Martin Bourla, DC's National Provider Identifier is 1013055755, issued on Feb 2, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Redwood City, CA. The record was last updated on Jul 8, 2007.