Pico Rivera Chiropractic and Sports Medicine

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PICO RIVERA CHIROPRACTIC AND SPORTS MEDICINE

Doing business as

Premiere Chiropractic and Sports Medicine

Practice address

6630 Rosemead Blvd
Pico Rivera, CA 90660-3533

Phone

(714) 334-6211

NPI assigned

Apr 21, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dong Hyun Gwag, DC

Title

Owner / Doctor

Phone

(714) 334-6211

Specialties & licenses 1

Addresses

Other names 1

• Premiere Chiropractic and Sports Medicine Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1447047816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 ROSEMEAD BLVD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906603533",
            "telephone_number": "714-334-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 ROSEMEAD BLVD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906603533",
            "telephone_number": "714-334-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICO RIVERA CHIROPRACTIC AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "GWAG",
        "authorized_official_first_name": "DONG HYUN",
        "authorized_official_title_or_position": "OWNER / DOCTOR",
        "authorized_official_telephone_number": "714-334-6211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premiere Chiropractic and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martha Alexandra Perez, A.A
• Rodolcita C Perez, LVN
• Jessenia Yvette Perilla
• Cynthia Elizabeth Peters, LPT
• Phong T. Tran DDS, Inc
• Pico Rivera Community Medical Clinic Inc
• Pico Rivera Gardens
• Pico Rivera Healthcare LLC (Pico Rivera Healthcare Center)
• Pico Rivera Pharmacy Inc (Pico Rivera Pharmacy)
• Pico Rivera Womens and Children Inc

• Physical Therapy Clinic/Center in Pico Rivera, CA
• Providers in Pico Rivera, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.