Provider Demographics
NPI:1780388967
Name:CHIZARI, ALIREZA (DC)
Entity type:Individual
Prefix:
First Name:ALIREZA
Middle Name:
Last Name:CHIZARI
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4768 PARK GRANADA STE 107
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-3312
Mailing Address - Country:US
Mailing Address - Phone:818-649-5300
Mailing Address - Fax:747-322-7246
Practice Address - Street 1:4768 PARK GRANADA STE 107
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-3312
Practice Address - Country:US
Practice Address - Phone:818-649-5300
Practice Address - Fax:747-322-7246
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-29
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC36634111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor