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PREMIERE SPINE AND SPORTS MEDICINE
NPI 1205655644
Chiropractor in El Segundo, CA

Active since October 03, 2024
2255 E MAPLE AVE, EL SEGUNDO, CA 90245(310) 322-8777(310) 322-8787 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premiere Spine And Sports Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIERE SPINE AND SPORTS MEDICINE (NPI 1205655644) is a healthcare organization registered as a chiropractor in El Segundo, California and active in the NPI registry since October 2024. The organization lists Dong Hyun Gwag, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1205655644
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePREMIERE SPINE AND SPORTS MEDICINE
Location Address2255 E MAPLE AVEEl Segundo, CA 90245-6508
Mailing Address2255 E Maple AveEl Segundo, CA 90245-6508 · (310) 322-8777 · Fax (310) 322-8787
Phone(310) 322-8777
Fax(310) 322-8787
Organization SubpartNo
Authorized OfficialDong Hyun GwagOwner/chiropractor · (714) 334-6211
Enumeration DateOctober 3, 2024
NPPES CertifiedOctober 3, 2024
✔ NPI 1205655644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
2255 E MAPLE AVE, El Segundo, CA 90245
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID JOHN YAMAMOTO DC
Chiropractor
2255 E MAPLE AVE
EL SEGUNDO, CA 90245
Los Angeles County (310) 322-8777
DR. MATTHEW SERIL DPT
Physical Therapist
2255 E MAPLE AVE
EL SEGUNDO, CA 90245
Los Angeles County (310) 499-2630
MATTHEW BANKS
Chiropractor
2255 E MAPLE AVE
EL SEGUNDO, CA 90245
Los Angeles County (310) 322-8777
DR. ROBERT JAMES GARCIA ATC, LAT, DC
Chiropractor
2255 E MAPLE AVE
EL SEGUNDO, CA 90245
Los Angeles County (310) 322-8777
PREMIERE SPORTS MEDICINE MEDICAL GROUP
Chiropractor
2255 E MAPLE AVE
EL SEGUNDO, CA 90245
Los Angeles County (310) 322-8777
NAIM CHIROPRACTIC & SPORTS MEDICINE
Chiropractor
2255 E MAPLE AVE
EL SEGUNDO, CA 90245
Los Angeles County (310) 322-8777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premiere Spine And Sports Medicine's NPI number?

The NPI number for Premiere Spine And Sports Medicine is 1205655644. It was assigned to this organization in the NPPES registry on October 3, 2024.

Where is Premiere Spine And Sports Medicine located?

Premiere Spine And Sports Medicine is located at 2255 E Maple Ave, El Segundo, CA 90245. The listed phone number is (310) 322-8777.

What is Premiere Spine And Sports Medicine's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Premiere Spine And Sports Medicine was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.