| Lelke Chiropractic Inc. | |
|
1530a 5th St, Berkeley, CA 94710-1713 | |
| (510) 725-1179 | |
| (510) 943-5252 |
| Full Name | Lelke Chiropractic Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1530a 5th St, Berkeley, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396008173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC-31356 (California) | Primary |
| Provider Name | Johanna Mae Lelke |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1437482353 PECOS PAC ID: 9234563966 Enrollment ID: I20200106000372 |
| Provider Name | Derrick Jack Stom |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1164176616 PECOS PAC ID: 6901291319 Enrollment ID: I20220322002454 |
| Provider Name | Fredrick Siu- Hin Cheng |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1235873027 PECOS PAC ID: 1850779216 Enrollment ID: I20220526000875 |
| Provider Name | Jaskiran Kaur Bath |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609573062 PECOS PAC ID: 8729452479 Enrollment ID: I20230320001050 |
| Provider Name | Nahomy Villalobos Tello |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1356115893 PECOS PAC ID: 2062854102 Enrollment ID: I20240521003796 |
| Mailing Address | Practice Location Address |
|---|---|
| Lelke Chiropractic Inc. 1530a 5th St, Berkeley, CA 94710-1713 Ph: (510) 725-1179 | Lelke Chiropractic Inc. 1530a 5th St, Berkeley, CA 94710-1713 Ph: (510) 725-1179 |
Ms. Pauline Fue Wong, LAC DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2615 Ashby Ave, Berkeley, CA 98705 Phone: 510-843-7878 | |
Dr. Benjamin Benulis, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1535 Derby St, Berkeley, CA 94703 Phone: 512-300-5574 | |
Dr. Susan V Mullen, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2620 Telegraph Ave, Berkeley, CA 94704 Phone: 510-356-4048 Fax: 510-356-4137 | |
Dr. Regalado Pagtakhan Reyes, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2850 Seventh St Ste 100, Berkeley, CA 94710 Phone: 510-845-5170 | |
Dr. Mara Anne Trowbridge, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2438 Sacramento St, Berkeley, CA 94702 Phone: 510-529-4207 | |
Steven Marc Bretow Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2560 9th St, Suite 313, Berkeley, CA 94710 Phone: 510-843-5700 Fax: 510-843-0190 | |
Kathryn Rae Bastable, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 2006 Kala Bagai Way, Berkeley, CA 94704 Phone: 530-559-5378 |