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Organization
SHADI ELIASPOUR DC
Active
Organization
SHADI ELIASPOUR DC
Active
Other names
Advanced Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHADI ELIASPOUR (OWNER DOCTOR)
(818) 999-0202
Entity
Organization
Contact information
Practice address
20969 VENTURA BLVD STE 23, WOODLAND HILLS, CA 91364-6634
(818) 999-0202
(818) 999-0212
Mailing address
PO BOX 573332, TARZANA, CA 91357-3332
(818) 999-0202
(818) 999-0212
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC29124
CA
Other
Enumeration date
01/31/2007
Last updated
06/17/2008
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