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NPI Code Detail

MEDICARE: DR. MOHAMMAD RAFIFAR D.C.

MEDICARE: DR. MOHAMMAD RAFIFAR D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NS0005XSports Physician Chiropractor22130CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DC22130OTHERCACHIROPRACTIC

General Provider Information

NPI Number : 1023442118
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMMAD RAFIFAR D.C.
Provider Business Mailing Address
First Line : 1820 S CATALINA AVE STE 108
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-5511
Country : US
Telephone Number : 310-383-2330
Fax Number :
Provider Business Practice Location Address
First Line : 1820 S CATALINA AVE STE 108
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-5511
Country : US
Telephone Number : 310-383-2330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2013
Last Update Date : 10/09/2019

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