Provider Demographics
NPI:1932348547
Name:ZARZANA CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:ZARZANA CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:E
Authorized Official - Last Name:ZARZANA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:562-498-4455
Mailing Address - Street 1:1777 N BELLFLOWER BLVD STE 109
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-4019
Mailing Address - Country:US
Mailing Address - Phone:562-498-4455
Mailing Address - Fax:562-498-4499
Practice Address - Street 1:1777 N BELLFLOWER BLVD STE 109
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-4019
Practice Address - Country:US
Practice Address - Phone:562-498-4455
Practice Address - Fax:562-498-4499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-05
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28448111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGC156AMedicare UPIN