Provider Demographics
NPI:1518596311
Name:JAZAYERI & MOAREFI CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:JAZAYERI & MOAREFI CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REZA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOAREFI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:310-343-9330
Mailing Address - Street 1:10800 PARAMOUNT BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-3324
Mailing Address - Country:US
Mailing Address - Phone:562-091-1787
Mailing Address - Fax:562-291-1781
Practice Address - Street 1:10800 PARAMOUNT BLVD STE 302
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-3324
Practice Address - Country:US
Practice Address - Phone:562-291-1787
Practice Address - Fax:562-291-1781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-03
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty