Provider Demographics
NPI:1750590600
Name:TAGHIZADEH, MAJID (DC)
Entity type:Individual
Prefix:DR
First Name:MAJID
Middle Name:
Last Name:TAGHIZADEH
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 1:2830 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-6208
Mailing Address - Country:US
Mailing Address - Phone:619-294-3800
Mailing Address - Fax:619-294-3811
Practice Address - Street 1:2830 4TH AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-6208
Practice Address - Country:US
Practice Address - Phone:619-294-3800
Practice Address - Fax:619-294-3811
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-30121111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor