Provider Demographics
NPI:1679612014
Name:SALEHMOHAMED, RAHIM (DC)
Entity Type:Individual
Prefix:DR
First Name:RAHIM
Middle Name:
Last Name:SALEHMOHAMED
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 1:5000 OVERLAND AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-4995
Mailing Address - Country:US
Mailing Address - Phone:310-558-9562
Mailing Address - Fax:310-558-9391
Practice Address - Street 1:5000 OVERLAND AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-4995
Practice Address - Country:US
Practice Address - Phone:310-558-9562
Practice Address - Fax:310-558-9391
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 29606111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0296060OtherBLUE SHIELD
CAWDC29606AMedicare PIN