Healthcare Provider Details

I. General information

NPI: 1679249809
Provider Name (Legal Business Name): NAVID SAADATI DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2021
Last Update Date: 03/28/2022
Certification Date: 03/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 ARGONAUT STE 110
ALISO VIEJO CA
92656-4121
US

IV. Provider business mailing address

92 ARGONAUT STE 110
ALISO VIEJO CA
92656-4121
US

V. Phone/Fax

Practice location:
  • Phone: 949-991-8787
  • Fax:
Mailing address:
  • Phone: 949-991-8787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberDC36148
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC36148
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: