Brian Gordon Dc Lac Acupuncture Professional Corporation in Encino - Chiropractor
Brian Gordon Dc Lac Acupuncture Professional Corporation - NPI 1629271846
Brian Gordon Dc Lac Acupuncture Professional Corporation is a Chiropractor in Encino, California. Brian Gordon Dc Lac Acupuncture Professional Corporation practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Brian Gordon Dc Lac Acupuncture Professional Corporation is 1629271846. The last update date is 2016-06-17.
Brian Gordon Dc Lac Acupuncture Professional Corporation's current location address is 5363 Balboa Blvd, Encino, California. You can contact this provider via phone number 8184013295 and fax number 8183876142. The mailing address for Brian Gordon Dc Lac Acupuncture Professional Corporation is 5363 Balboa Blvd, Encino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brian Gordon Dc Lac Acupuncture Professional Corporation |
|---|---|
| Address | 5363 Balboa Blvd, Encino, California |
| Phone Number | 8184013295 |
| Fax Number | 8183876142 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gordon Bernard Brian |
| Credentials | DC, LAC |
| Telephone Number | 8183868835 |
NPI Number Detail
| NPI Number | 1629271846 |
|---|---|
| Provider Enumeration Date | 2007-06-06 |
| Last Updated Date | 2016-06-17 |
Provider Mailing Address Detail
| Address | 5363 Balboa Blvd |
|---|---|
| City | Encino |
| State | California (CA) |
| Post Code | 913162805 |
| Phone Number | 8184013295 |
| Fax Number | 8183876142 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC-29620 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DC29620 | CA | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Brian Gordon Dc Lac Acupuncture Professional Corporation by the Centers for Medicare & Medicaid Services?
The Brian Gordon Dc Lac Acupuncture Professional Corporation has been assigned the NPI (National Provider Identifier) 1629271846 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Brian Gordon Dc Lac Acupuncture Professional Corporation is physically located?
The Brian Gordon Dc Lac Acupuncture Professional Corporation is situated at the following address: 5363 Balboa Blvd, Encino, CA 913162805.
What is Brian Gordon Dc Lac Acupuncture Professional Corporation's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brian Gordon Dc Lac Acupuncture Professional Corporation is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1629271846 to Brian Gordon Dc Lac Acupuncture Professional Corporation?
The Centers for Medicare & Medicaid Services assigned the 1629271846 to Brian Gordon Dc Lac Acupuncture Professional Corporation on 2007-06-06.
As of what date were the details related to Brian Gordon Dc Lac Acupuncture Professional Corporation most recently updated or revised?
The information pertaining to Brian Gordon Dc Lac Acupuncture Professional Corporation, including its address, specialty, and other relevant details, was last updated or revised on 2016-06-17.