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General NPI Number Information
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NPI Number | 1922322205
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Entity Type | Organization
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Legal Business Name | KAMBIZ YAZDI, DC, INC
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Dates
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Enumeration Date | 03/16/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6399 WILSHIRE BLVD STE 203
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City | LOS ANGELES
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State | CA
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Zip | 90048-5705
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Country | US
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Telephone | 310-974-2828
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Fax | 310-540-9334
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Provider Business Mailing Address
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Address Line | 4778 ZELZAH AVE
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City | ENCINO
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State | CA
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Zip | 91316-4235
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Country | US
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Telephone | 310-974-2828
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Fax | 310-540-9334
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Authorized Official
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Title or Position | OWNER
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Name | DR. KAMBIZ YAZDI
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Credential | D.C.
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Telephone | 310-974-2828
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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 | DC30660
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License Number State | CA
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