Healthcare Provider Details

I. General information

NPI: 1700752789
Provider Name (Legal Business Name): ISPINE HEALTH CENTER BY AL-SELHI CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2025
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
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:
Mailing address:
  • Phone: 626-345-5222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. FADI AL-SELHI
Title or Position: OWNER/CEO
Credential: DC
Phone: 626-210-8333