Doctor Name: | JAHANGIR SANDALISAZAN JANFAZA |
NPI Number: | 1073659223 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | DC12434 |
Business Practice Address: | 9025 Wilshire Blvd Suite 200 Beverly Hills, CA - 902111825 |
Business Phone Number: | 3108598494 |
Business Fax Number: | 3108591573 |
Mailing Address: | Po Box 2578, BEVERLY HILLS |
State: | CA |
Postal Code: | 90213 |
Phone Number: | 3108598494 |
Fax Number: | 3108591573 |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC12434 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |