| Dr. Kiana Kiasaleh, Chiropractic Inc. | |
|
1072 Powderhorn Ct Oak Park CA 91377-3927 | |
| (818) 879-1922 | |
| (805) 495-4946 |
| Full Name | Dr. Kiana Kiasaleh, Chiropractic Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1072 Powderhorn Ct, Oak Park, California |
| Authorized Official Name and Position | Kiana Kiasaleh (DOCTOR OF CHIROPRACTIC) |
| Authorized Official Contact | 3104296610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Kiana Kiasaleh, Chiropractic Inc. 1072 Powderhorn Ct Oak Park CA 91377-3927 Ph: (818) 879-1922 | Dr. Kiana Kiasaleh, Chiropractic Inc. 1072 Powderhorn Ct Oak Park CA 91377-3927 Ph: (818) 879-1922 |
| NPI Number | 1083801310 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 10/01/2007 |
| Medicare PECOS PAC ID | 0648666917 |
|---|---|
| Medicare Enrollment ID | O20220413002492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083801310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | DC 22035 (California) | Primary |
| Provider Name | Kiana Kiasaleh |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801931167 PECOS PAC ID: 1557757820 Enrollment ID: I20220413002539 |
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