MEDICARE: DR. SHAHAB ARANI 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	33914	CA

General Provider Information

NPI Number	:	1558120311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHAHAB ARANI DC

Provider Business Mailing Address
First Line	:	1807 S BEVERLY GLEN BLVD APT 203
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-6688
Country	:	US
Telephone Number	:	310-490-7473
Fax Number	:

Provider Business Practice Location Address
First Line	:	1807 S BEVERLY GLEN BLVD APT 203
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-6688
Country	:	US
Telephone Number	:	310-490-7473
Fax Number	:

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

Provider Enumeration Date	:	03/15/2024
Last Update Date	:	03/15/2024

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