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Organization
THERAPY CRYO SALON
Active
Organization
THERAPY CRYO SALON
Active
Other names
Therapy Cryo Salon
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYMANAT ASHTIANI DC (CEO)
(949) 699-2796
Entity
Organization
Contact information
Practice address
22622 LAMBERT ST STE 308, LAKE FOREST, CA 92630-1669
(949) 699-2796
(844) 270-6353
Mailing address
22622 LAMBERT ST STE 308, LAKE FOREST, CA 92630-1669
(949) 699-2796
(844) 270-6353
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
NULL
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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