Provider Demographics
NPI:1811028897
Name:PARHAMI, JALEH (DC)
Entity Type:Individual
Prefix:DR
First Name:JALEH
Middle Name:
Last Name:PARHAMI
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 1:1740 S LOS ANGELES ST
Mailing Address - Street 2:105
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90015-3632
Mailing Address - Country:US
Mailing Address - Phone:213-742-7777
Mailing Address - Fax:213-742-0808
Practice Address - Street 1:1740 S LOS ANGELES ST
Practice Address - Street 2:105
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-3632
Practice Address - Country:US
Practice Address - Phone:213-742-7777
Practice Address - Fax:213-742-0808
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25165111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC25165Medicare ID - Type UnspecifiedMEDICAL LICENSE