Healthcare Provider Details

I. General information

NPI: 1144214800
Provider Name (Legal Business Name): MAHTAB Z NEJAD DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MAHTAB ZARGARIAN DC

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1848 SARATOGA AVE BLD #1 SUITE #2
SARATOGA CA
95070-6612
US

IV. Provider business mailing address

1 CHARLES ST
LOS GATOS CA
95032-5471
US

V. Phone/Fax

Practice location:
  • Phone: 408-866-5120
  • Fax: 408-866-5005
Mailing address:
  • Phone: 408-866-5120
  • Fax: 408-866-5005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC25953
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: