Healthcare Provider Details

I. General information

NPI: 1063165215
Provider Name (Legal Business Name): ARJANG KHANI DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2022
Last Update Date: 09/01/2025
Certification Date: 09/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 W 6TH ST BLDG C UNIT 115
CORONA CA
92882-1851
US

IV. Provider business mailing address

1450 W 6TH ST BLDG C UNIT 115
CORONA CA
92882-1851
US

V. Phone/Fax

Practice location:
  • Phone: 951-432-7196
  • Fax:
Mailing address:
  • Phone: 951-432-7196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC36224
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: