Brent Gong is a Chiropractor in Madera, California. Brent Gong practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Brent Gong is 1912054255. The last update date is 2007-07-08.
Brent Gong's current location address is 1929 Howard Rd, Madera, California. You can contact this provider via phone number 5596738888. The mailing address for Brent Gong is 1929 Howard Rd, Madera, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Gong |
|---|---|
| Address | 1929 Howard Rd, Madera, California |
| Phone Number | 5596738888 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1912054255 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1929 Howard Rd |
|---|---|
| City | Madera |
| State | California (CA) |
| Post Code | 936375134 |
| Phone Number | 5596738888 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 22254 |
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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 |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Brent Gong by the Centers for Medicare & Medicaid Services?
The Brent Gong has been assigned the NPI (National Provider Identifier) 1912054255 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Brent Gong is physically located?
The Brent Gong is physically situated at the following address: 1929 Howard Rd, Madera, CA, 936375134.
What is Brent Gong's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brent Gong is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1912054255 to Brent Gong?
The Brent Gong received its 1912054255 assignment from the Centers for Medicare & Medicaid Services on 2007-01-05.
As of what date were the Brent Gong's details last updated?
The information pertaining to the Brent Gong, including its address, specialty, and other details, was most recently updated on 2007-07-08.