| Brook Chiropractic, Inc | |
|
11686 Gateway Blvd, Los Angeles, CA 90064-2829 | |
| (310) 392-5456 | |
| (310) 444-5519 |
| Full Name | Brook Chiropractic, Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 11686 Gateway Blvd, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427195544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC27589 (California) | Primary |
| Provider Name | Jeremy S Brook |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962696872 PECOS PAC ID: 0042309858 Enrollment ID: I20071201000210 |
| Mailing Address | Practice Location Address |
|---|---|
| Brook Chiropractic, Inc 11686 Gateway Blvd, Los Angeles, CA 90064-2829 Ph: (310) 392-5456 | Brook Chiropractic, Inc 11686 Gateway Blvd, Los Angeles, CA 90064-2829 Ph: (310) 392-5456 |
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