MEDICARE: DR. MAES VIOULA RABADI DC

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
1	111N00000X	Chiropractor	33445	CA

General Provider Information

NPI Number	:	1326403056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAES VIOULA RABADI DC

Provider Business Mailing Address
First Line	:	16328 FAIRBANKS CT
Second Line	:
City	:	CANYON COUNTRY
State	:	CA
Zip	:	91387-4621
Country	:	US
Telephone Number	:	661-244-7312
Fax Number	:

Provider Business Practice Location Address
First Line	:	16328 FAIRBANKS CT
Second Line	:
City	:	CANYON COUNTRY
State	:	CA
Zip	:	91387-4621
Country	:	US
Telephone Number	:	661-244-7312
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2015
Last Update Date	:	12/22/2015

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