Individual provider · Type 1 NPI
Luba Medvedev, DC
Chiropractor · San Mateo, CA
NPI number
1205901535
Active
Practice location
1 Baywood Ave Ste 4
San Mateo, CA 94402-1537
Fax (408) 725-0172
Mailing address
4927 Englewood Dr
San Jose, CA 95129-4232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC26445 (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.
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About NPI 1205901535
Luba Medvedev, DC's National Provider Identifier is 1205901535, issued on Nov 21, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in San Mateo, CA. The record was last updated on Jul 8, 2007.