Provider Demographics
NPI:1700514239
Name:ADVANCED BODY CARE WELLNESS CENTER, A SAHRAI CHIROPRACTIC CORP.
Entity Type:Organization
Organization Name:ADVANCED BODY CARE WELLNESS CENTER, A SAHRAI CHIROPRACTIC CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR., PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROOZBEH
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHRAI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:310-294-9392
Mailing Address - Street 1:4305 TORRANCE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-4410
Mailing Address - Country:US
Mailing Address - Phone:310-294-9392
Mailing Address - Fax:
Practice Address - Street 1:4305 TORRANCE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4410
Practice Address - Country:US
Practice Address - Phone:310-294-9392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty