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General NPI Number Information
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NPI Number | 1366394934
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Entity Type | Individual
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Provider Name | GHASSAN KANTARJI DC
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Gender | Male
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 10800 PARAMOUNT BLVD STE 307
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City | DOWNEY
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State | CA
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Zip | 90241-3324
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Country | US
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Telephone | 562-396-0046
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Fax |
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Provider Business Mailing Address
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Address Line | 631 LEMAR PARK DR APT A
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City | GLENDORA
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State | CA
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Zip | 91740-4441
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Country | US
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Telephone | 626-315-3642
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC37519
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License Number State | CA
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