| NPI | 1568492205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED VAZIRI Owner 818-704-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC21157) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC9345) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2016-02-15 |