Provider Demographics
NPI:1518045129
Name:MIRZAIANS, ARBI (DC)
Entity Type:Individual
Prefix:DR
First Name:ARBI
Middle Name:
Last Name:MIRZAIANS
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 1:3680 E. IMPERIAL HWY.
Mailing Address - Street 2:SUITE 240
Mailing Address - City:LYNWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90262-2659
Mailing Address - Country:US
Mailing Address - Phone:310-537-7600
Mailing Address - Fax:310-537-9438
Practice Address - Street 1:3680 E IMPERIAL HWY
Practice Address - Street 2:SUITE 240
Practice Address - City:LYNWOOD
Practice Address - State:CA
Practice Address - Zip Code:90262-2659
Practice Address - Country:US
Practice Address - Phone:310-537-7600
Practice Address - Fax:310-537-9438
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29482111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor