Provider Demographics
NPI:1073305785
Name:TINA SHAMSBOD CHIROPRACTIC INC
Entity type:Organization
Organization Name:TINA SHAMSBOD CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAMSBOD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:661-236-6166
Mailing Address - Street 1:27833 AVENUE HOPKINS STE 6
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-4562
Mailing Address - Country:US
Mailing Address - Phone:661-236-6166
Mailing Address - Fax:
Practice Address - Street 1:27833 AVENUE HOPKINS STE 6
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-4562
Practice Address - Country:US
Practice Address - Phone:661-236-6166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty