Provider Demographics
NPI:1699591594
Name:GAIR LASER CHIROPRACTIC INC.
Entity type:Organization
Organization Name:GAIR LASER CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:GAIR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:626-338-3600
Mailing Address - Street 1:PO BOX 636
Mailing Address - Street 2:
Mailing Address - City:BALDWIN PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91706-0636
Mailing Address - Country:US
Mailing Address - Phone:626-338-3600
Mailing Address - Fax:
Practice Address - Street 1:1901 W PACIFIC AVE STE 205
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-2007
Practice Address - Country:US
Practice Address - Phone:626-338-3600
Practice Address - Fax:626-338-1600
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GAIR LASER CHIROPRACTIC INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty