Provider Demographics
NPI:1518176239
Name:ZARGARAFF, BAHMAN (DC)
Entity Type:Individual
Prefix:
First Name:BAHMAN
Middle Name:
Last Name:ZARGARAFF
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 1:5702 WALLIS LN
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-5325
Mailing Address - Country:US
Mailing Address - Phone:818-340-4433
Mailing Address - Fax:818-340-4433
Practice Address - Street 1:5702 WALLIS LN
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-5325
Practice Address - Country:US
Practice Address - Phone:818-340-4433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD.C.22498111NS0005X, 111NT0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111NS0005XChiropractic ProvidersChiropractorSports Physician
Not Answered111NT0100XChiropractic ProvidersChiropractorThermography