MEDICARE: GAIR LASER 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	:	1699591594
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GAIR LASER CHIROPRACTIC INC.

Provider Business Mailing Address
First Line	:	PO BOX 636
Second Line	:
City	:	BALDWIN PARK
State	:	CA
Zip	:	91706-0636
Country	:	US
Telephone Number	:	626-338-3600
Fax Number	:

Provider Business Practice Location Address
First Line	:	1901 W PACIFIC AVE STE 205
Second Line	:
City	:	WEST COVINA
State	:	CA
Zip	:	91790-2007
Country	:	US
Telephone Number	:	626-338-3600
Fax Number	:	626-338-1600

Authorized Official
Title or Position	:	PRINCIPAL
Name	:	DR. KIRK ALEXANDER GAIR
Credential	:	DC
Telephone Number	:	626-338-3600

Provider Enumeration Date	:	11/25/2024
Last Update Date	:	11/25/2024

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