Provider Demographics
NPI:1447534722
Name:BEDI, DALBIR S (DC)
Entity type:Individual
Prefix:DR
First Name:DALBIR
Middle Name:S
Last Name:BEDI
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 1:90 E TASMAN DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95134-1617
Mailing Address - Country:US
Mailing Address - Phone:408-944-6100
Mailing Address - Fax:408-944-6102
Practice Address - Street 1:90 E TASMAN DR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95134-1617
Practice Address - Country:US
Practice Address - Phone:408-944-6100
Practice Address - Fax:408-944-6102
Is Sole Proprietor?:No
Enumeration Date:2011-10-04
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34757111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor