Healthcare Provider Details

I. General information

NPI: 1336851377
Provider Name (Legal Business Name): COMFORT CARE CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2022
Last Update Date: 12/21/2022
Certification Date: 12/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14445 1/2 VENTURA BLVD
SHERMAN OAKS CA
91423-2606
US

IV. Provider business mailing address

14445 1/2 VENTURA BLVD
SHERMAN OAKS CA
91423-2606
US

V. Phone/Fax

Practice location:
  • Phone: 818-646-4686
  • Fax: 818-616-4687
Mailing address:
  • Phone: 818-468-1998
  • Fax: 818-616-4687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. EMIN MEHRABIAN
Title or Position: PRESIDENT
Credential: DC
Phone: 818-616-4686