Provider Demographics
NPI:1164672754
Name:LEPP, DAVID J (DC, CSCS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:LEPP
Suffix:
Gender:M
Credentials:DC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 THE ALAMEDA
Mailing Address - Street 2:SUITE 170
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-1110
Mailing Address - Country:US
Mailing Address - Phone:408-421-5134
Mailing Address - Fax:408-249-4323
Practice Address - Street 1:2021 THE ALAMEDA
Practice Address - Street 2:SUITE 170
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126
Practice Address - Country:US
Practice Address - Phone:408-421-5134
Practice Address - Fax:408-249-4323
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-19
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30465111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor