Provider Demographics
NPI:1609909795
Name:HOORFAR RABBANY CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:HOORFAR RABBANY CHIROPRACTIC CORPORATION
Other - Org Name:ATLAS CHIROPRACTIC MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VISE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FARZAD
Authorized Official - Middle Name:N
Authorized Official - Last Name:RABBANY
Authorized Official - Suffix:
Authorized Official - Credentials:DC, QME
Authorized Official - Phone:323-735-4799
Mailing Address - Street 1:3701 STOCKER ST STE 205
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90008-5144
Mailing Address - Country:US
Mailing Address - Phone:323-735-4799
Mailing Address - Fax:323-295-2412
Practice Address - Street 1:3701 STOCKER ST STE 205
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90008-5144
Practice Address - Country:US
Practice Address - Phone:323-735-4799
Practice Address - Fax:323-295-2412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty