Provider Demographics
NPI:1760694855
Name:ERIC TAFRESHI CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:ERIC TAFRESHI CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MASOUD
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:TAFRESHI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-444-9774
Mailing Address - Street 1:1120 W WARNER AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92707-3179
Mailing Address - Country:US
Mailing Address - Phone:714-444-9774
Mailing Address - Fax:714-444-9775
Practice Address - Street 1:1120 W WARNER AVE
Practice Address - Street 2:SUITE B
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92707-3179
Practice Address - Country:US
Practice Address - Phone:714-444-9774
Practice Address - Fax:714-444-9775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25186261QC1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health