Healthcare Provider Details

I. General information

NPI: 1932381837
Provider Name (Legal Business Name): SALEHMOHAMED CHIROPRACTIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2007
Last Update Date: 02/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 N LARCHMONT BLVD SUITE #905
LOS ANGELES CA
90004-3025
US

IV. Provider business mailing address

321 N LARCHMONT BLVD SUITE #905
LOS ANGELES CA
90004-3025
US

V. Phone/Fax

Practice location:
  • Phone: 310-736-1480
  • Fax: 310-736-1481
Mailing address:
  • Phone: 310-736-1480
  • Fax: 310-736-1481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC29606
License Number StateCA

VIII. Authorized Official

Name: DR. RAHIM SALEHMOHAMED
Title or Position: PRESIDENT
Credential: D.C.
Phone: 310-736-1480