Provider Demographics
NPI:1447081674
Name:COROIANU, SEPTIMIU (DC)
Entity type:Individual
Prefix:
First Name:SEPTIMIU
Middle Name:
Last Name:COROIANU
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 S BASCOM AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-3269
Mailing Address - Country:US
Mailing Address - Phone:408-866-8820
Mailing Address - Fax:
Practice Address - Street 1:3591 STEVENS CREEK BLVD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95117-1047
Practice Address - Country:US
Practice Address - Phone:408-241-1777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC36660111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor