Gordon, Brian

Gordon, Brian is an individual health care provider with primary practice located at 5363 Balboa Blvd Suite 436, Encino CA 91316-2805. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Acupuncturist. Chiropractic Providers / Chiropractor is his primary health care specialty. Gordon, Brian can be contacted via phone (818) 386-8835.

Contact Information

Primary practice address
5363 Balboa Blvd Suite 436 Encino CA 91316-2805
Phone: (818) 386-8835
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1750445821
LBN Legal business name Gordon, Brian
Credentials DC, LAC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Jun 17th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750445821 NPPES
Other DC29620 MEDICARE PTAN

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