Dadvand Chiropractic INC.
Preferred Provider Organization in Los Angeles, CA. Organization (NPI-2).
NPI number1639507650
StatusActive
Last updated in NPPESOct 30, 2013
Details
- NPI
- 1639507650
- Entity type
- Organization (NPI-2)
- Legal business name
- Dadvand Chiropractic INC.
- Organization subpart
- No
- Enumeration date
- Oct 30, 2013
- Last updated
- Oct 30, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305R00000X | Preferred Provider Organization | DC28053 | CA | Yes |
Practice location
11540 Santa Monica Blvd Ste 203Los Angeles, CA 90025-7905
Phone 310-444-7711 · Fax 310-914-7633
Mailing address
11540 Santa Monica Blvd Ste 203Los Angeles, CA 90025-7905
Phone 310-444-7711 · Fax 310-914-7633
Authorized official
Farbod Dadvand
Chiropractor
3104441177
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