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NPI Code Detail

MEDICARE: DR. NASRIN MOGHADASIAN D.C., F.I.C.P.A

MEDICARE:  DR. NASRIN  MOGHADASIAN  D.C., F.I.C.P.A
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
1111N00000XChiropractorDC 27488CA

General Provider Information

NPI Number : 1932173853
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NASRIN MOGHADASIAN D.C., F.I.C.P.A
Provider Business Mailing Address
First Line : 730 S PACIFIC COAST HWY
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-4205
Country : US
Telephone Number : 310-792-9100
Fax Number : 310-792-1180
Provider Business Practice Location Address
First Line : 730 S PACIFIC COAST HWY
Second Line : #105
City : REDONDO BEACH
State : CA
Zip : 90277-4205
Country : US
Telephone Number : 310-792-9100
Fax Number : 310-792-1180
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 07/08/2007

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Directions to “ DR. NASRIN MOGHADASIAN D.C., F.I.C.P.A” Practice Location

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