Provider Demographics
NPI:1083765929
Name:GAIL RAMSEY CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:GAIL RAMSEY CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMSEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-249-1188
Mailing Address - Street 1:3460 OCEAN VIEW BLVD
Mailing Address - Street 2:#A
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-1538
Mailing Address - Country:US
Mailing Address - Phone:818-249-1188
Mailing Address - Fax:818-249-7092
Practice Address - Street 1:3460 OCEAN VIEW BLVD
Practice Address - Street 2:#A
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208-1538
Practice Address - Country:US
Practice Address - Phone:818-249-1188
Practice Address - Fax:818-249-7092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22246111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC22246Medicare ID - Type UnspecifiedSTATE LICENSE