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NPI Code Detail

MEDICARE: NOORIVAZIRI CHIROPRACTIC INC

MEDICARE: NOORIVAZIRI 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
1111N00000XChiropractorDC31165CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DC0311650OTHERCABS INDIVIDUAL PIN
2DC31165OTHERCADC LICENSE
3DE156AOTHERCAINDIVIDUAL PTAN

General Provider Information

NPI Number : 1760754758
Entity Type Code : Organization
Provider Name (Legal Business Name) : NOORIVAZIRI CHIROPRACTIC INC
Provider Business Mailing Address
First Line : 15550 ROCKFIELD BLVD
Second Line : B220
City : IRVINE
State : CA
Zip : 92618-2720
Country : US
Telephone Number : 949-598-9999
Fax Number : 949-598-9990
Provider Business Practice Location Address
First Line : 1511 TREAT BLVD
Second Line : 100
City : WALNUT CREEK
State : CA
Zip : 94598-1094
Country : US
Telephone Number : 925-949-8911
Fax Number : 925-949-8322
Authorized Official
Title or Position : PROVIDER / OWNER
Name : MARYAM NOORIVAZIRI
Credential : D.C.
Telephone Number : 925-949-8911
Provider Enumeration Date : 02/06/2012
Last Update Date : 02/06/2012

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Directions to “NOORIVAZIRI CHIROPRACTIC INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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