Venerable Chiropractic, INC
Chiropractor in San Gabriel, CA. Organization (NPI-2).
NPI number1174792162
StatusActive
Last updated in NPPESOct 28, 2010
Details
- NPI
- 1174792162
- Entity type
- Organization (NPI-2)
- Legal business name
- Venerable Chiropractic, INC
- Organization subpart
- No
- Enumeration date
- Feb 25, 2008
- Last updated
- Oct 28, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Other names
- Venerable Chiropractic Clinic (Doing Business As)
Practice location
206 East Las Tunas DriveSuite 2
San Gabriel, CA 91776
Phone 626-285-5831 · Fax 323-337-8111
Mailing address
206 East Las Tunas DriveSuite 2
San Gabriel, CA 91776
Phone 626-285-5831 · Fax 323-337-8111
Authorized official
Brian Keith Venerable
President/Ceo
6262855831
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