Provider Demographics
NPI:1477574168
Name:NAMDARIAN IGHAI, AKRAM (DC)
Entity Type:Individual
Prefix:
First Name:AKRAM
Middle Name:
Last Name:NAMDARIAN IGHAI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6650 RESEDA BLVD STE 101C
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-5391
Mailing Address - Country:US
Mailing Address - Phone:818-881-7585
Mailing Address - Fax:818-638-0024
Practice Address - Street 1:6650 RESEDA BLVD STE 101C
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-5391
Practice Address - Country:US
Practice Address - Phone:818-881-7585
Practice Address - Fax:818-638-0024
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22938111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC22938OtherSTATE LICENCE