Provider Demographics
NPI:1629555958
Name:GURU CHIROPRACTIC WELLNESS INC.
Entity Type:Organization
Organization Name:GURU CHIROPRACTIC WELLNESS INC.
Other - Org Name:GURU CHIROPRACTIC WELLNESS INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL BILLE
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-485-7753
Mailing Address - Street 1:9730 BLOOMFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-3403
Mailing Address - Country:US
Mailing Address - Phone:562-485-7753
Mailing Address - Fax:562-286-8303
Practice Address - Street 1:522 W 9TH ST
Practice Address - Street 2:
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90731-3106
Practice Address - Country:US
Practice Address - Phone:310-833-4598
Practice Address - Fax:866-310-8897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-19
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty