Provider Demographics
NPI:1952813602
Name:ESHGHI CHIROPRACTIC INC
Entity Type:Organization
Organization Name:ESHGHI CHIROPRACTIC INC
Other - Org Name:SAN PEDRO CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ESHGHI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:310-740-0468
Mailing Address - Street 1:1534 W 25TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90732-4402
Mailing Address - Country:US
Mailing Address - Phone:310-548-5656
Mailing Address - Fax:310-382-2085
Practice Address - Street 1:1534 W 25TH ST
Practice Address - Street 2:
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90732-4402
Practice Address - Country:US
Practice Address - Phone:310-548-5656
Practice Address - Fax:310-382-2085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-02
Last Update Date:2017-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty