Provider Demographics
NPI:1568125052
Name:NAIM SPINE AND SPORTS CHIROPRACTIC GROUP PC
Entity Type:Organization
Organization Name:NAIM SPINE AND SPORTS CHIROPRACTIC GROUP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAIM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:310-499-8166
Mailing Address - Street 1:8810 S SEPULVEDA BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-4810
Mailing Address - Country:US
Mailing Address - Phone:310-499-8166
Mailing Address - Fax:310-322-8787
Practice Address - Street 1:8810 S SEPULVEDA BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-4810
Practice Address - Country:US
Practice Address - Phone:310-499-8166
Practice Address - Fax:310-322-8787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports MedicineGroup - Multi-Specialty