Provider Demographics
NPI:1043603269
Name:ZIMMERMAN AND SHAHBAZIAN CHIROPRACTIC
Entity Type:Organization
Organization Name:ZIMMERMAN AND SHAHBAZIAN CHIROPRACTIC
Other - Org Name:FLINTRIDGE FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF CHIROPRQACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:RION
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-952-0172
Mailing Address - Street 1:1039 FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:LA CANADA
Mailing Address - State:CA
Mailing Address - Zip Code:91011-3249
Mailing Address - Country:US
Mailing Address - Phone:818-952-0172
Mailing Address - Fax:818-952-2013
Practice Address - Street 1:1039 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:LA CANADA
Practice Address - State:CA
Practice Address - Zip Code:91011-3249
Practice Address - Country:US
Practice Address - Phone:818-952-0172
Practice Address - Fax:818-952-2013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-12
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30044111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty