MEDICARE: GLIKIN CHIROPRACTIC, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1073198362
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLIKIN CHIROPRACTIC, INC.

Provider Business Mailing Address
First Line	:	12439 MAGNOLIA BLVD # 438
Second Line	:
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-2450
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7823 SANTA MONICA BLVD
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90046-5302
Country	:	US
Telephone Number	:	323-498-0999
Fax Number	:	323-736-0403

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MARC GLIKIN
Credential	:	DC
Telephone Number	:	323-498-0999

Provider Enumeration Date	:	03/17/2021
Last Update Date	:	11/17/2023

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