Healthcare Provider Details

I. General information

NPI: 1730449760
Provider Name (Legal Business Name): FADI GEORGE AL-SELHI D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2012
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S FAIR OAKS AVE STE 409
PASADENA CA
91105-2561
US

IV. Provider business mailing address

301 S FAIR OAKS AVE STE 409
PASADENA CA
91105-2561
US

V. Phone/Fax

Practice location:
  • Phone: 626-345-5222
  • Fax: 626-345-5311
Mailing address:
  • Phone: 626-345-5222
  • Fax: 626-345-5311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number32308
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: