Healthcare Provider Details

I. General information

NPI: 1265024343
Provider Name (Legal Business Name): ASEF AGHAPOUR MALEKI DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2021
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9368 VALLEY VIEW DR NW
ALBUQUERQUE NM
87114-4004
US

IV. Provider business mailing address

9368 VALLEY VIEW DR NW
ALBUQUERQUE NM
87114-4004
US

V. Phone/Fax

Practice location:
  • Phone: 714-204-1296
  • Fax:
Mailing address:
  • Phone: 714-204-1296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC22004
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number14651
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: