| NPI | 1871651976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHNAZ AZIMZADEH Doctor/Owner 818-501-5553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC24277) |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation (Licence: CA 24277) |
| 111NS0005X Chiropractor Sports Physician (Licence: CA 24277) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2013-07-17 |