NPI 1609054949

Trinity Chiropractic Wellness Center, INC.

Organisation Preferred Provider Organization Vienna, VA

Practice location

Address: 8133 Leesburg Pike Suite 360, Vienna, VA 22182-2706
Phone: (703) 992-8992

Authorised official

Name: Sung-Jun Park
Title: President
Phone: (703) 992-8992

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 0104556502 (VA)

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Registry record

NPI: 1609054949
Entity type: Organization
NPI issued: 8 Feb 2008
Record last updated: 8 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.