MEDICARE: DR. ARBI MIRZAIANS 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
1	111N00000X	Chiropractor	DC29482	CA

General Provider Information

NPI Number	:	1518045129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARBI MIRZAIANS D.C.

Provider Business Mailing Address
First Line	:	3680 E. IMPERIAL HWY.
Second Line	:	SUITE 240
City	:	LYNWOOD
State	:	CA
Zip	:	90262-2659
Country	:	US
Telephone Number	:	310-537-7600
Fax Number	:	310-537-9438

Provider Business Practice Location Address
First Line	:	3680 E IMPERIAL HWY
Second Line	:	SUITE 240
City	:	LYNWOOD
State	:	CA
Zip	:	90262-2659
Country	:	US
Telephone Number	:	310-537-7600
Fax Number	:	310-537-9438

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/08/2007

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