Provider Demographics
NPI:1265112270
Name:AMIN AND BIDARIAN CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:AMIN AND BIDARIAN CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:HAFEZ
Authorized Official - Last Name:BIDARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-904-6062
Mailing Address - Street 1:9220 HAVEN AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-8551
Mailing Address - Country:US
Mailing Address - Phone:909-377-2570
Mailing Address - Fax:909-377-2570
Practice Address - Street 1:9220 HAVEN AVE STE 103
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-8551
Practice Address - Country:US
Practice Address - Phone:909-377-2570
Practice Address - Fax:909-377-2570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty