Provider Demographics
NPI:1235761883
Name:ZIMMERMAN AND SHAHBAZIAN FLINTRIDGE FAMILY CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:ZIMMERMAN AND SHAHBAZIAN FLINTRIDGE FAMILY CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:ALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIGORIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-952-0172
Mailing Address - Street 1:845 FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:LA CANADA
Mailing Address - State:CA
Mailing Address - Zip Code:91011-3337
Mailing Address - Country:US
Mailing Address - Phone:818-952-0172
Mailing Address - Fax:818-952-2013
Practice Address - Street 1:845 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:LA CANADA
Practice Address - State:CA
Practice Address - Zip Code:91011-3337
Practice Address - Country:US
Practice Address - Phone:818-952-0172
Practice Address - Fax:818-952-2013
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-11
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty