Provider Demographics
NPI:1134732258
Name:GINA BROWN CHIROPRACTIC INC.
Entity type:Organization
Organization Name:GINA BROWN CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GINA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:562-905-3434
Mailing Address - Street 1:721 W WHITTIER BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-3771
Mailing Address - Country:US
Mailing Address - Phone:562-905-3434
Mailing Address - Fax:562-905-2626
Practice Address - Street 1:721 W WHITTIER BLVD STE C
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-3771
Practice Address - Country:US
Practice Address - Phone:562-905-3434
Practice Address - Fax:562-905-2626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty