Active Care Spine Center

LBN: Brian Gordon Dc Lac Acupuncture Professional Corporation
Active Care Spine Center is an health care organization with primary practice located at 5363 Balboa Blvd Suite #439, Encino CA 91316-2805. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Acupuncturist. Chiropractic Providers / Chiropractor is the primary health care specialty. Brian Gordon Dc Lac Acupuncture Professional Corporation can be contacted via phone (818) 401-3295, or through Gordon, Brian Bernard via phone (818) 386-8835.

Contact Information

Primary practice address
5363 Balboa Blvd Suite #439 Encino CA 91316-2805
Phone: (818) 401-3295
Fax: (818) 387-6142
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Brian Bernard DC, LAC
Phone: (818) 386-8835

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC-29620 California
Other Service Providers / Acupuncturist 171100000X AC-13010 California

Profile Details

NPI number 1629271846
LBN Legal business name Brian Gordon Dc Lac Acupuncture Professional Corporation
DBA Doing business as Active Care Spine Center
Authorized official Gordon, Brian Bernard DC, LAC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2007
Last updated Jun 17th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629271846 NPPES
California Other DC29620 MEDICARE PTAN

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