Healthcare Provider Details

I. General information

NPI: 1447007380
Provider Name (Legal Business Name): FARSHAD RAHBAR DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2024
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 E LA HABRA BLVD
LA HABRA CA
90631-5439
US

IV. Provider business mailing address

351 E LA HABRA BLVD
LA HABRA CA
90631-5439
US

V. Phone/Fax

Practice location:
  • Phone: 562-393-2240
  • Fax: 562-222-3161
Mailing address:
  • Phone: 562-393-2240
  • Fax: 562-222-3161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC36939
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: