Shahrestani Chiropractic Professional Corporation | |
2328 Newport Blvd Costa Mesa CA 92627-1548 | |
(949) 631-3139 | |
(949) 631-0747 |
Full Name | Shahrestani Chiropractic Professional Corporation |
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Speciality | Clinic/center - Health Service |
Location | 2328 Newport Blvd, Costa Mesa, California |
Authorized Official Name and Position | Babak R Shahrestani (PRESIDENT) |
Authorized Official Contact | 9496313139 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Shahrestani Chiropractic Professional Corporation 2328 Newport Blvd Costa Mesa CA 92627-1548 Ph: (949) 631-3139 | Shahrestani Chiropractic Professional Corporation 2328 Newport Blvd Costa Mesa CA 92627-1548 Ph: (949) 631-3139 |
NPI Number | 1043515604 |
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Provider Enumeration Date | 01/12/2011 |
Last Update Date | 01/12/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043515604 | NPI | - | NPPES |
DC19600 | Other | CA | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 19600 (California) | Secondary |
261QH0100X | Clinic/center - Health Service | 19600 (California) | Primary |
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