Provider Demographics
NPI:1619050663
Name:G. SCOTT BIRNIE, D.C., INC.
Entity Type:Organization
Organization Name:G. SCOTT BIRNIE, D.C., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:BIRNIE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:562-594-6644
Mailing Address - Street 1:5512 E BRITTON DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-3146
Mailing Address - Country:US
Mailing Address - Phone:562-594-6644
Mailing Address - Fax:562-594-6114
Practice Address - Street 1:5512 E BRITTON DR
Practice Address - Street 2:SUITE 100
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-3146
Practice Address - Country:US
Practice Address - Phone:562-594-6644
Practice Address - Fax:562-594-6114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2008-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC13937111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty