1487942801 NPI number — DR. HADI ARMAN SHIRZADIAN D.C.

Table of content: DR. HADI ARMAN SHIRZADIAN D.C. (NPI 1487942801)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487942801 NPI number — DR. HADI ARMAN SHIRZADIAN D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHIRZADIAN
Provider First Name:
HADI
Provider Middle Name:
ARMAN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487942801
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/19/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3500 OVERLAND AVE
Provider Second Line Business Mailing Address:
SUITE # 230
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90034-5695
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-202-0056
Provider Business Mailing Address Fax Number:
866-220-1545

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3500 OVERLAND AVE
Provider Second Line Business Practice Location Address:
SUITE # 230
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90034-5695
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-202-0056
Provider Business Practice Location Address Fax Number:
866-220-1545
Provider Enumeration Date:
07/19/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  DC 30634 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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