Provider Demographics
NPI:1003598798
Name:GHANEM& SLIBI CHIROPRACTIC INC.,
Entity Type:Organization
Organization Name:GHANEM& SLIBI CHIROPRACTIC INC.,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IBRAHIM
Authorized Official - Middle Name:
Authorized Official - Last Name:GHANEM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-676-8870
Mailing Address - Street 1:3300 E SOUTH ST STE 204
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90805-4584
Mailing Address - Country:US
Mailing Address - Phone:877-444-2636
Mailing Address - Fax:
Practice Address - Street 1:3300 E SOUTH ST STE 204
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90805-4584
Practice Address - Country:US
Practice Address - Phone:877-444-2636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty