Garrido Russell Chiropractic Corp

Organization Active NPI Chiropractor · Mountain House, CA

NPI 1508635301 · NPPES record last updated Dec 21, 2023

Key facts

NPI
1508635301
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
Legal business name
GARRIDO RUSSELL CHIROPRACTIC CORP
Practice address
583 Wicklund Crossing Way
Mountain House, CA 95391-1100
Phone
(209) 836-3597
Fax
(209) 834-8119
NPI assigned
Dec 21, 2023
Organization subpart
No

Authorized official

Name
Dr. Joseph P Russell, DC NPI 1174701882
Title
Ceo
Phone
(209) 836-3597

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

130 N Grant Ave
Manteca, CA 95336
Phone (209) 825-5610

438 W Beverly Pl
Ste 101
Tracy, CA 95376
Phone (209) 832-9221

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193200000X MULTI-SPECIALTY GROUP
111N00000X Yes

Addresses

Primary practice location

583 Wicklund Crossing Way
Mountain House, CA 95391-1100

Mailing address

438 W Beverly PL Ste 101
Tracy, CA 95376-3011
Phone (209) 832-9221

Other names

  • Valley Chiropractic Center Doing business as

Other providers in Mountain House, CA

All providers in Mountain House, CA · Chiropractor in California

Sources for this page

Verify at the official NPI Registry.