Provider Demographics
NPI:1033683073
Name:GU CHIROPRACTIC, INC
Entity Type:Organization
Organization Name:GU CHIROPRACTIC, INC
Other - Org Name:GU CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HANMO
Authorized Official - Middle Name:
Authorized Official - Last Name:GU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:310-540-9991
Mailing Address - Street 1:3510 TORRANCE BLVD.
Mailing Address - Street 2:SUITE 106
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503
Mailing Address - Country:US
Mailing Address - Phone:310-540-9991
Mailing Address - Fax:310-634-1889
Practice Address - Street 1:3510 TORRANCE BLVD.
Practice Address - Street 2:SUITE 106
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503
Practice Address - Country:US
Practice Address - Phone:310-540-9991
Practice Address - Fax:310-634-1889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-13
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty