Provider Demographics
NPI:1043937907
Name:RASHIDIAN CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:RASHIDIAN CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PARASTOO
Authorized Official - Middle Name:
Authorized Official - Last Name:RASHIDIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:424-252-9179
Mailing Address - Street 1:1009 WILSHIRE BLVD STE 225
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90401-1931
Mailing Address - Country:US
Mailing Address - Phone:424-252-9179
Mailing Address - Fax:
Practice Address - Street 1:1009 WILSHIRE BLVD STE 225
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401-1931
Practice Address - Country:US
Practice Address - Phone:424-252-9179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-21
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health