Provider Demographics
NPI:1215390786
Name:GUNTER CHIROPRACTIC INC
Entity Type:Organization
Organization Name:GUNTER CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GUY
Authorized Official - Middle Name:TAYLOR
Authorized Official - Last Name:GUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:562-331-5061
Mailing Address - Street 1:11152 WALLINGSFORD RD APT 3G
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-6050
Mailing Address - Country:US
Mailing Address - Phone:562-331-5061
Mailing Address - Fax:
Practice Address - Street 1:3351 E HILL ST
Practice Address - Street 2:
Practice Address - City:SIGNAL HILL
Practice Address - State:CA
Practice Address - Zip Code:90755-1219
Practice Address - Country:US
Practice Address - Phone:562-331-5061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-01
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32840111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty