| NPI | 1629271846 |
|---|---|
| Doing Business As | ACTIVE CARE SPINE CENTER |
| Entity Type | Organization |
| Authorized Contact | BRIAN BERNARD GORDON President 818-386-8835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC-29620) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC-13010) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2016-06-17 |