Healthcare Provider Details

I. General information

NPI: 1174906838
Provider Name (Legal Business Name): ZUBIN DAH CHIROPRACTIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2015
Last Update Date: 09/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CORPORATE PARK SUITE 230
IRVINE CA
92606-3199
US

IV. Provider business mailing address

10 CORPORATE PARK SUITE 230
IRVINE CA
92606-3199
US

V. Phone/Fax

Practice location:
  • Phone: 949-679-3734
  • Fax: 949-679-3736
Mailing address:
  • Phone: 949-679-3734
  • Fax: 949-679-3736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC32274
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC14661
License Number StateCA

VIII. Authorized Official

Name: DR. ZUBIN M DAH
Title or Position: OWNER
Credential: D.C., L.AC.
Phone: 949-679-3734