Healthcare Provider Details

I. General information

NPI: 1033037197
Provider Name (Legal Business Name): MANDAVICHIROPRACTIC.INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23801 CALABASAS RD STE 1016
CALABASAS CA
91302-3375
US

IV. Provider business mailing address

23801 CALABASAS RD STE 1016
CALABASAS CA
91302-3375
US

V. Phone/Fax

Practice location:
  • Phone: 818-294-9090
  • Fax:
Mailing address:
  • Phone: 818-294-9090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. MILAD MANDAVI
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 818-294-9090