Provider Demographics
NPI:1568649846
Name:AMINI, DARYOUSH (DC)
Entity Type:Individual
Prefix:DR
First Name:DARYOUSH
Middle Name:
Last Name:AMINI
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 1:2290 W WHITTIER BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-3449
Mailing Address - Country:US
Mailing Address - Phone:562-691-1111
Mailing Address - Fax:
Practice Address - Street 1:2290 W WHITTIER BLVD STE C
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-3449
Practice Address - Country:US
Practice Address - Phone:562-691-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-29
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 22570111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor