MEDICARE: MICHAEL AND MATTHEW CHIROPRACTIC INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1477684215
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL AND MATTHEW CHIROPRACTIC INC.

Provider Business Mailing Address
First Line	:	9100 S SEPULVEDA BLVD
Second Line	:	SUITE 104
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-4814
Country	:	US
Telephone Number	:	310-670-9999
Fax Number	:	310-670-9994

Provider Business Practice Location Address
First Line	:	9100 S SEPULVEDA BLVD
Second Line	:	SUITE 104
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-4814
Country	:	US
Telephone Number	:	310-670-9999
Fax Number	:	310-670-9994

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MICHAEL ARAGHI
Credential	:	D.C.
Telephone Number	:	310-670-9999

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	08/22/2020

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