Provider Demographics
NPI:1790869980
Name:DRAKHSHANI, SHIVA (DC)
Entity Type:Individual
Prefix:DR
First Name:SHIVA
Middle Name:
Last Name:DRAKHSHANI
Suffix:
Gender:F
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:PO BOX 251
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91365-0251
Mailing Address - Country:US
Mailing Address - Phone:818-902-2122
Mailing Address - Fax:818-902-2151
Practice Address - Street 1:14328 VICTORY BLVD STE G
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-6505
Practice Address - Country:US
Practice Address - Phone:818-902-2122
Practice Address - Fax:818-902-2151
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC23513111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor