PACIFIC COAST SPINE AND REHAB
NPI 1629177340
Chiropractor in Los Angeles, CA

Active since September 21, 2006
11110 OHIO AVE STE 108, LOS ANGELES, CA 90025(310) 473-7130(310) 473-5077 Get Directions Write a Review

NPPES record last updated: January 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacific Coast Spine And Rehab NPPES

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

PACIFIC COAST SPINE AND REHAB (NPI 1629177340) is a healthcare organization registered as a chiropractor in Los Angeles, California and active in the NPI registry since September 2006. The organization lists Dana Elmore Clark, Director, as its authorized official.

NPPES Registry Identity

NPI1629177340
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDANA E. CLARK D.C. INC
Location Address11110 OHIO AVE STE 108Los Angeles, CA 90025-6345
Mailing Address11110 Ohio Ave Ste 108Los Angeles, CA 90025-6345 · (310) 473-7130 · Fax (310) 473-5077
Fax(310) 473-5077
Organization SubpartNo
Authorized OfficialDana Elmore ClarkDirector · (310) 473-7130
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJanuary 9, 2008
NPI 1629177340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in CA · DC28616
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.
11110 OHIO AVE STE 108, Los Angeles, CA 90025

Other Names 1

Doing Business AsPacific Coast Spine And Rehab

Other Identifiers 2

Medicare PINW20278CA
Medicare UPINU93711CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Specialist
11110 OHIO AVE STE 108
LOS ANGELES, CA 90025

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 Dana E. Clark D.C. Inc's NPI number?

The NPI number for Dana E. Clark D.C. Inc is 1629177340. It was assigned to this organization in the NPPES registry on September 21, 2006. The provider is doing business as Pacific Coast Spine And Rehab.

Where is Dana E. Clark D.C. Inc located?

Dana E. Clark D.C. Inc is located at 11110 Ohio Ave Ste 108, Los Angeles, CA 90025. The listed phone number is (310) 473-7130.

What is Dana E. Clark D.C. Inc'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 Dana E. Clark D.C. Inc was last updated on January 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.