Reza Shahba, DC | |
4132 Katella Ave Ste 102, Los Alamitos, CA 90720-3491 | |
(562) 596-9677 | |
(562) 795-6630 |
Full Name | Reza Shahba |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 4132 Katella Ave Ste 102, Los Alamitos, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801555073 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 36204 (California) | Secondary |
111N00000X | Chiropractor | DC36204 (California) | Primary |
Provider Name | Shahba Body Revive Chiropractic Corporation |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1538889373 PECOS PAC ID: 2961848742 Enrollment ID: O20240314004066 |
Mailing Address | Practice Location Address |
---|---|
Reza Shahba, DC 4132 Katella Ave Ste 102, Los Alamitos, CA 90720-3491 Ph: (424) 634-9373 | Reza Shahba, DC 4132 Katella Ave Ste 102, Los Alamitos, CA 90720-3491 Ph: (562) 596-9677 |
Shannon Hatfield, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5182 Katella Ave Ste 102, Los Alamitos, CA 90720 Phone: 714-485-9496 | |
Toulouse Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 11274 Los Alamitos Blvd, Los Alamitos, CA 90720 Phone: 562-598-2923 | |
Rockenmacher Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 4152 Katella Ave Ste 102, Los Alamitos, CA 90720 Phone: 562-598-9609 Fax: 562-799-1462 | |
Dr. Jack C Hewitt, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 10900 Los Alamitos Blvd, #141, Los Alamitos, CA 90720 Phone: 562-508-5109 Fax: 855-419-4417 | |
Dr. Steven Brian Wasserman, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 3772 Katella Ave, Ste. 100, Los Alamitos, CA 90720 Phone: 562-430-4949 | |
Dr. Raymond T. Oca, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5122 Katella Ave Ste 300, Los Alamitos, CA 90720 Phone: 562-493-1075 Fax: 714-276-6544 | |
Dr. Paul Watchara Chivabunditt, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3662 Katella Ave, Suite 209, Los Alamitos, CA 90720 Phone: 714-576-0457 |