Healthcare Provider Details
I. General information
NPI: 1154231900
Provider Name (Legal Business Name): PRECISE CHIROPRACTIC, A SURNOCK FAMILY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3600 OCEAN VIEW BLVD STE 3
GLENDALE CA
91208-3417
US
IV. Provider business mailing address
3600 OCEAN VIEW BLVD STE 3
GLENDALE CA
91208-3417
US
V. Phone/Fax
- Phone: 818-330-9669
- Fax: 818-330-9668
- Phone: 818-330-9669
- Fax: 818-330-9668
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: DR.
THOMAS
ROBERT
SURNOCK
Title or Position: OWNER
Credential: D.C
Phone: 818-330-9669