| Resilience Chiropractic Luong | |
|
550 Carmar St Hayward CA 94544-5808 | |
| (510) 789-7789 | |
| Not Available |
| Full Name | Resilience Chiropractic Luong |
|---|---|
| Speciality | Chiropractor |
| Location | 550 Carmar St, Hayward, California |
| Authorized Official Name and Position | Ernest Luong (CHIROPRACTOR) |
| Authorized Official Contact | 5107897789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilience Chiropractic Luong 1040 Davis St Ste 201 San Leandro CA 94577-1519 Ph: (510) 789-7789 | Resilience Chiropractic Luong 550 Carmar St Hayward CA 94544-5808 Ph: (510) 789-7789 |
| NPI Number | 1609541614 |
|---|---|
| Provider Enumeration Date | 08/11/2021 |
| Last Update Date | 11/13/2021 |
| Medicare PECOS PAC ID | 4587055330 |
|---|---|
| Medicare Enrollment ID | O20220105001195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609541614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Ernest Luong |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1902423247 PECOS PAC ID: 5496146243 Enrollment ID: I20220105001270 |
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