Provider Demographics
NPI:1497491856
Name:AZIZI, HIRBOD (DC)
Entity Type:Individual
Prefix:DR
First Name:HIRBOD
Middle Name:
Last Name:AZIZI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18062 IRVINE BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3328
Mailing Address - Country:US
Mailing Address - Phone:949-800-8525
Mailing Address - Fax:
Practice Address - Street 1:18062 IRVINE BLVD STE 201
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3328
Practice Address - Country:US
Practice Address - Phone:949-800-8525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-09
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC36231111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor