Individual provider Active NPI

Eric E. Gofnung, D.C.

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1821137134
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-24383 Issued in CA
Practice address
6221 Wilshire Blvd Ste 604
Los Angeles, CA 90048-5215
Phone
(323) 931-3494
Fax
(323) 931-3499
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-24383 CA Primary

Addresses

Primary practice location

6221 Wilshire Blvd Ste 604
Los Angeles, CA 90048-5215

Mailing address

6221 Wilshire Blvd Ste 604
Los Angeles, CA 90048-5215
Phone (323) 931-3494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC-24383CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eric E Gofnung Chiropractic Corporation Chiropractor CurrentSince Aug 15, 2021 Accepting new patients

Locations

6221 Wilshire Blvd
Ste 604
Los Angeles, CA 90048
Phone (323) 933-2444

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821137134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD STE 604",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485215",
            "telephone_number": "323-931-3494",
            "fax_number": "323-931-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD STE 604",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485215",
            "telephone_number": "323-931-3494",
            "fax_number": "323-931-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFNUNG",
        "first_name": "ERIC",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-24383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.