Doctor Name: | AZITA TABASSIAN |
NPI Number: | 1598804114 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | DC26152 |
Business Practice Address: | 1200 Rosecrans Ave Suite# 211 Manhattan Beach, CA - 902662462 |
Business Phone Number: | 3106151884 |
Business Fax Number: | 8175495159 |
Mailing Address: | 30055 Avenida Esplendida, RANCHO PALOS VERDES |
State: | CA |
Postal Code: | 902755420 |
Phone Number: | 3106151884 |
Fax Number: | 8175495159 |
NPI Enumeration Date: | 02/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC26152 |
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. |