Healthcare Provider Details

I. General information

NPI: 1649194655
Provider Name (Legal Business Name): KANDIS AGHASI DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 N OLIVE AVE
TURLOCK CA
95380
US

IV. Provider business mailing address

3190 PORSCHE STRASSE
TURLOCK CA
95382-9178
US

V. Phone/Fax

Practice location:
  • Phone: 209-667-7333
  • Fax: 209-667-7755
Mailing address:
  • Phone: 818-923-3655
  • Fax: 209-667-7755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC37705
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: