Provider Demographics
NPI:1356033096
Name:SHEKARRIZ CHIROPRACTIC INC.
Entity type:Organization
Organization Name:SHEKARRIZ CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DELARAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEKARRIZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:949-263-0270
Mailing Address - Street 1:12101 HERMON DR
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92782-1249
Mailing Address - Country:US
Mailing Address - Phone:949-545-3038
Mailing Address - Fax:949-263-0281
Practice Address - Street 1:17975 SKY PARK CIR STE C
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-6329
Practice Address - Country:US
Practice Address - Phone:949-263-0270
Practice Address - Fax:949-263-0281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty