Provider Demographics
NPI:1760753891
Name:ELAHEH ZIANOUR, A CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:ELAHEH ZIANOUR, A CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ELAHEH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIANOUR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-783-0332
Mailing Address - Street 1:16661 VENTURA BLVD
Mailing Address - Street 2:SUITE 225
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-1914
Mailing Address - Country:US
Mailing Address - Phone:818-783-0332
Mailing Address - Fax:818-783-6518
Practice Address - Street 1:16661 VENTURA BLVD
Practice Address - Street 2:SUITE 225
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1914
Practice Address - Country:US
Practice Address - Phone:818-783-0332
Practice Address - Fax:818-783-6518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-20
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25289111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty