| Organization Name: | MIRSHOJAE CHIROPRACTIC, INC |
| NPI Number: | 1114324936 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALIREZA MIRSHOJAE (PRESIDENT) |
| Mailing Address: | 18318 Sherman Way Reseda |
| State: | CA US |
| Postal Code: | 913354424 |
| Phone Number: | 8187577246 |
| Fax Number: | 8187573024 |
| NPI Enumeration Date: | 11/21/2014 |
| NPI Last Update Date: | 11/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | DC22086 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |