Provider Demographics
NPI:1205543212
Name:DR. RAFIA LOS GATOS CHIROPRACTIC AND REHAB
Entity type:Organization
Organization Name:DR. RAFIA LOS GATOS CHIROPRACTIC AND REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MEHRBOD
Authorized Official - Middle Name:
Authorized Official - Last Name:RAFIA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:301-525-5157
Mailing Address - Street 1:800 POLLARD RD STE B207
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1429
Mailing Address - Country:US
Mailing Address - Phone:408-384-3842
Mailing Address - Fax:
Practice Address - Street 1:800 POLLARD RD STE B207
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1429
Practice Address - Country:US
Practice Address - Phone:408-384-3842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-31
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty