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NPI Code Detail

MEDICARE: ADVANCED CHIROPRACTIC SOLUTIONS

MEDICARE: ADVANCED CHIROPRACTIC SOLUTIONS
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
1111NR0400XRehabilitation Chiropractor24277CA
2111NS0005XSports Physician Chiropractor24277CA
3111N00000XChiropractorDC24277CA

General Provider Information

NPI Number : 1871651976
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED CHIROPRACTIC SOLUTIONS
Provider Business Mailing Address
First Line : 17777 VENTURA BLVD STE 120
Second Line : #120
City : ENCINO
State : CA
Zip : 91316-3738
Country : US
Telephone Number : 818-654-8320
Fax Number : 818-654-8321
Provider Business Practice Location Address
First Line : 17777 VENTURA BLVD STE 120
Second Line : #120
City : ENCINO
State : CA
Zip : 91316-3738
Country : US
Telephone Number : 818-654-8320
Fax Number : 818-654-8321
Authorized Official
Title or Position : DOCTOR/OWNER
Name : MRS. MAHNAZ AZIMZADEH
Credential : D.C
Telephone Number : 818-501-5553
Provider Enumeration Date : 12/04/2006
Last Update Date : 07/17/2013

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Directions to “ADVANCED CHIROPRACTIC SOLUTIONS ” 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.