| Brian Gordon, DC, LAC | |
|
5363 Balboa Blvd, Suite 436, Encino, CA 91316-2805 | |
| (818) 386-8835 | |
| Not Available |
| Full Name | Brian Gordon |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 20 Years |
| Location | 5363 Balboa Blvd, Encino, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750445821 | NPI | - | NPPES |
| DC29620 | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC-29620 (California) | Primary |
| 171100000X | Acupuncturist | AC-13010 (California) | Secondary |
| Provider Name | Brian Gordon Dc Lac Acupuncture Professional Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629271846 PECOS PAC ID: 8426344110 Enrollment ID: O20160906002467 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Gordon, DC, LAC 5363 Balboa Blvd Ste 436, Encino, CA 91316-2840 Ph: (818) 386-8835 | Brian Gordon, DC, LAC 5363 Balboa Blvd, Suite 436, Encino, CA 91316-2805 Ph: (818) 386-8835 |
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