Provider Demographics
NPI:1891820387
Name:CEREBRAL INVESTMENTS, INC
Entity Type:Organization
Organization Name:CEREBRAL INVESTMENTS, INC
Other - Org Name:DBA BURBANK GLENDALE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BROCK
Authorized Official - Middle Name:A
Authorized Official - Last Name:BORAH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-843-3333
Mailing Address - Street 1:1902 W GLENOAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91201-1616
Mailing Address - Country:US
Mailing Address - Phone:818-843-3333
Mailing Address - Fax:818-688-8001
Practice Address - Street 1:1902 W GLENOAKS BLVD
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91201-1616
Practice Address - Country:US
Practice Address - Phone:818-843-3333
Practice Address - Fax:818-688-8001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC13461111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty