# HEALTH CLINIC OF SOUTHERN CA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639472103
- **Authorized official:** DR. NEDA MEHRABANI LADJEVARDI D.C,LAC (OWNER)
- **Authorized official phone:** (818) 990-5321

## Contact information

- **Practice address:** 17337 VENTURA BLVD, SUITE 203, ENCINO, CA 91316-3903
- **Practice address phone:** (818) 990-5321
- **Practice address fax:** (818) 990-6953
- **Mailing address:** 17337 VENTURA BLVD, SUITE 203, ENCINO, CA 91316-3903
- **Mailing address phone:** (818) 990-5321
- **Mailing address fax:** (818) 990-6953

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC25902 | CA | — |
| 171100000X | Acupuncturist | AC11428 | CA | Yes |

## Other

- **Enumeration date:** 12/06/2010
- **Last updated:** 12/06/2010