Provider Demographics
NPI:1174495345
Name:CHOROSKI CHIROPRACTIC CLINIC, INC
Entity type:Organization
Organization Name:CHOROSKI CHIROPRACTIC CLINIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOROSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:408-601-0271
Mailing Address - Street 1:1620 WESTWOOD DR STE C
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-5114
Mailing Address - Country:US
Mailing Address - Phone:408-601-0271
Mailing Address - Fax:
Practice Address - Street 1:1620 WESTWOOD DR STE C
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-5114
Practice Address - Country:US
Practice Address - Phone:408-601-0271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty