Provider Demographics
NPI:1467489393
Name:RABBANY, FARZAD N (DC, QME)
Entity Type:Individual
Prefix:DR
First Name:FARZAD
Middle Name:N
Last Name:RABBANY
Suffix:
Gender:M
Credentials:DC, QME
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 S ROBERTSON BLVD
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2811
Mailing Address - Country:US
Mailing Address - Phone:310-652-0024
Mailing Address - Fax:310-652-6015
Practice Address - Street 1:206 S ROBERTSON BLVD
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2811
Practice Address - Country:US
Practice Address - Phone:310-652-0024
Practice Address - Fax:310-652-6015
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC23954111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU59788Medicare UPIN
CADC23954Medicare ID - Type UnspecifiedMEDICARE ID NUMBER