Provider Demographics
NPI:1205194651
Name:DAH, ZUBIN MEHERNOSH (DC, LAC)
Entity Type:Individual
Prefix:DR
First Name:ZUBIN
Middle Name:MEHERNOSH
Last Name:DAH
Suffix:
Gender:M
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CORPORATE PARK
Mailing Address - Street 2:SUITE 230
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-5140
Mailing Address - Country:US
Mailing Address - Phone:949-679-3734
Mailing Address - Fax:949-679-3736
Practice Address - Street 1:10 CORPORATE PARK
Practice Address - Street 2:SUITE 230
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606-5140
Practice Address - Country:US
Practice Address - Phone:949-679-3734
Practice Address - Fax:949-679-3736
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-23
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14661171100000X
CA32274111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHI098ZMedicare PIN