Provider Demographics
NPI:1740805118
Name:TABRIZI BROTHERS CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:TABRIZI BROTHERS CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:TABRIZI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-674-6784
Mailing Address - Street 1:3840 WOODRUFF AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-2148
Mailing Address - Country:US
Mailing Address - Phone:562-982-4404
Mailing Address - Fax:562-982-4424
Practice Address - Street 1:3840 WOODRUFF AVE STE 104
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-2148
Practice Address - Country:US
Practice Address - Phone:562-982-4404
Practice Address - Fax:562-982-4424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-11
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty