Provider Demographics
NPI:1073198362
Name:GLIKIN CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:GLIKIN CHIROPRACTIC, INC.
Other - Org Name:ALIGNED HEALTH AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:GLIKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:323-498-0999
Mailing Address - Street 1:12439 MAGNOLIA BLVD # 438
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-2450
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7823 SANTA MONICA BLVD
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-5302
Practice Address - Country:US
Practice Address - Phone:323-498-0999
Practice Address - Fax:323-736-0403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty