Provider Demographics
NPI:1194212779
Name:NAVAII, MEHDI (CHIROPRACTOR)
Entity Type:Individual
Prefix:
First Name:MEHDI
Middle Name:
Last Name:NAVAII
Suffix:
Gender:M
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20011 VENTURA BLVD # 1002
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2573
Mailing Address - Country:US
Mailing Address - Phone:818-708-6163
Mailing Address - Fax:818-340-5537
Practice Address - Street 1:20011 VENTURA BLVD # 1002
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2573
Practice Address - Country:US
Practice Address - Phone:818-708-6163
Practice Address - Fax:818-340-5537
Is Sole Proprietor?:No
Enumeration Date:2018-04-18
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21448111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA21448OtherCHIROPRACTOR LICENSE