Organization Active NPI

Abutaleb & Ghanem Chiropractic Inc.

  • Chiropractor
  • Anaheim, CA
National Provider Identifier
1619209863
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25696 Issued in CA
Legal business name
ABUTALEB & GHANEM CHIROPRACTIC INC.
Practice address
710 S Brookhurst St Ste a
Anaheim, CA 92804-4321
Phone
(714) 533-2922
Fax
(714) 533-2902
NPI assigned
Feb 12, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Ibrahim A Ghanem, D.C.
Title
President
Phone
(714) 533-2922

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

710 S Brookhurst St
Ste D
Anaheim, CA 92804
Phone (714) 533-2002

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC25696 CA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC29600 CA

Addresses

NPPES NPI Registry

Primary practice location

710 S Brookhurst St Ste a
Anaheim, CA 92804-4321

Mailing address

710 S Brookhurst St Ste a
Anaheim, CA 92804-4321
Phone (714) 533-2922

Other names 1

NPPES NPI Registry
  • ANAHEIM CHIROPRACTIC & REHAB CENTER Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 12, 2010.

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1619209863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S BROOKHURST ST STE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928044321",
            "telephone_number": "714-533-2922",
            "fax_number": "714-533-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S BROOKHURST ST STE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928044321",
            "telephone_number": "714-533-2922",
            "fax_number": "714-533-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUTALEB & GHANEM CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-12",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "GHANEM",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-533-2922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25696",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANAHEIM CHIROPRACTIC & REHAB CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.