Healthcare Provider Details

I. General information

NPI: 1134107667
Provider Name (Legal Business Name): ASIF S. DURRANI D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2006
Last Update Date: 10/06/2022
Certification Date: 10/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16209 PARAMOUNT BLVD 205
PARAMOUNT CA
90723-5468
US

IV. Provider business mailing address

16209 PARAMOUNT BLVD 205
PARAMOUNT CA
90723-5468
US

V. Phone/Fax

Practice location:
  • Phone: 562-531-2290
  • Fax:
Mailing address:
  • Phone: 562-531-2290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC24711
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: