Provider Demographics
NPI:1518126275
Name:NAVAII CHIROPRACTIC CENTER INC
Entity Type:Organization
Organization Name:NAVAII CHIROPRACTIC CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:MEHDI
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVAII
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-241-0002
Mailing Address - Street 1:605 SOUTH PACIFIC AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90731
Mailing Address - Country:US
Mailing Address - Phone:310-241-0002
Mailing Address - Fax:310-241-0009
Practice Address - Street 1:605 SOUTH PACIFIC AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90731
Practice Address - Country:US
Practice Address - Phone:310-241-0002
Practice Address - Fax:310-241-0009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-06
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21448111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty