=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366237158
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RAHBAR CHIROPRACTIC PAIN CENTER, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/11/2025
-----------------------------------------------------
Last Update Date | 04/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 84 S PALM AVE
-----------------------------------------------------
City | ALHAMBRA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91801-3101
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-393-2240
-----------------------------------------------------
Fax | 562-222-3161
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1501 S BEACH BLVD APT L1116
-----------------------------------------------------
City | LA HABRA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90631-1187
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-393-2240
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIROPRACTOR
-----------------------------------------------------
Name | DR. FARSHAD RAHBAR
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 562-393-2240
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------