| Shahed Sadr, | |
|
3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 | |
| (310) 390-9018 | |
| (310) 390-0868 |
| Full Name | Shahed Sadr |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 3030 Sawtelle Blvd, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538731922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 33057 (California) | Primary |
| Provider Name | Health Atlast West La Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376968610 PECOS PAC ID: 7719100478 Enrollment ID: O20140527001161 |
| Mailing Address | Practice Location Address |
|---|---|
| Shahed Sadr, 13273 Fiji Way Apt 426, Marina Del Rey, CA 90292-7095 Ph: (310) 367-8407 | Shahed Sadr, 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 Ph: (310) 390-9018 |
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Woo S Kim Chiropractic Rehab Therapy A Prof Corp Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2120 W 8th St Ste 200, Los Angeles, CA 90057 Phone: 213-483-3987 Fax: 213-483-5547 | |
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