Healthcare Provider Details

I. General information

NPI: 1568125052
Provider Name (Legal Business Name): NAIM SPINE AND SPORTS CHIROPRACTIC GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2021
Last Update Date: 10/21/2021
Certification Date: 10/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8810 S SEPULVEDA BLVD
LOS ANGELES CA
90045-4810
US

IV. Provider business mailing address

8810 S SEPULVEDA BLVD
LOS ANGELES CA
90045-4810
US

V. Phone/Fax

Practice location:
  • Phone: 310-499-8166
  • Fax: 310-322-8787
Mailing address:
  • Phone: 310-499-8166
  • Fax: 310-322-8787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALAN NAIM
Title or Position: PROVIDER
Credential: DC
Phone: 310-499-8166