Provider Demographics
NPI:1659445542
Name:TAFRESHI, JULIAN ESMAEIL (DC)
Entity Type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:ESMAEIL
Last Name:TAFRESHI
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 1:4014 LONG BEACH BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-5407
Mailing Address - Country:US
Mailing Address - Phone:562-981-9123
Mailing Address - Fax:562-981-9423
Practice Address - Street 1:4014 LONG BEACH BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-5407
Practice Address - Country:US
Practice Address - Phone:562-981-9123
Practice Address - Fax:562-981-9423
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25518111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor