Healthcare Provider Details
I. General information
NPI: 1780880245
Provider Name (Legal Business Name): ARAD CHIROPRACTIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18740 VENTURA BLVD SUITE 301
TARZANA CA
91356-3366
US
IV. Provider business mailing address
18740 VENTURA BLVD SUITE 301
TARZANA CA
91356-3366
US
V. Phone/Fax
- Phone: 818-776-1661
- Fax:
- Phone: 818-776-1661
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NN1001X |
| Taxonomy | Nutrition Chiropractor |
| License Number | DC17266 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
YAMI
ARAD
Title or Position: OWNER
Credential: D.C.
Phone: 818-776-1661