| Active Care Spine Center | |
|
5363 Balboa Blvd, Suite #439, Encino, CA 91316-2805 | |
| (818) 401-3295 | |
| (818) 387-6142 |
| Full Name | Active Care Spine Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 5363 Balboa Blvd, Encino, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629271846 | NPI | - | NPPES |
| DC29620 | Other | CA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC-29620 (California) | Primary |
| 171100000X | Acupuncturist | AC-13010 (California) | Secondary |
| Provider Name | Brian B Gordon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750445821 PECOS PAC ID: 1355387721 Enrollment ID: I20050707000532 |
| Mailing Address | Practice Location Address |
|---|---|
| Active Care Spine Center 5363 Balboa Blvd Ste 436, Encino, CA 91316-2840 Ph: (818) 386-8835 | Active Care Spine Center 5363 Balboa Blvd, Suite #439, Encino, CA 91316-2805 Ph: (818) 401-3295 |
Dr. Frank Joseph Demarco, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 17337 Ventura Blvd Ste 106, Encino, CA 91316 Phone: 818-788-2984 | |
Dr. Mike Galstyan, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 17609 Ventura Blvd Ste 104, Encino, CA 91316 Phone: 818-291-3636 | |
Dr. Robert Joesph Wakamatsu, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 17552 Ventura Blvd, Encino, CA 91316 Phone: 818-788-5504 Fax: 818-386-1005 | |
Health Clinic Of Southern California Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 17337 Ventura Blvd, Suite 203, Encino, CA 91316 Phone: 818-990-5321 Fax: 818-990-6953 | |
Encino Sports Medicine Group, Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 16500 Ventura Blvd, 360, Encino, CA 91436 Phone: 818-986-1210 Fax: 818-986-1029 | |
Dr. Bruce Shannahoff, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5363 Balboa Blvd Ste 430, Encino, CA 91316 Phone: 818-789-3244 Fax: 253-390-2518 | |
Chiropractic Family Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 16430 Ventura Blvd, Suite 207, Encino, CA 91436 Phone: 818-783-4100 Fax: 818-783-7018 |