Provider Demographics
NPI:1184921827
Name:TABRIZI, SHERVIN (DC)
Entity type:Individual
Prefix:DR
First Name:SHERVIN
Middle Name:
Last Name:TABRIZI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 ENCLAVE CIR APT 204
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-8200
Mailing Address - Country:US
Mailing Address - Phone:949-579-0640
Mailing Address - Fax:
Practice Address - Street 1:17885 SKY PARK CIR STE J
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-6307
Practice Address - Country:US
Practice Address - Phone:949-251-0154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-15
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC31906111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor