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Organization
NOORIVAZIRI CHIROPRACTIC INC
Active
Organization
NOORIVAZIRI CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM NOORIVAZIRI D.C. (PROVIDER / OWNER)
(925) 949-8911
Entity
Organization
Contact information
Practice address
1511 TREAT BLVD, 100, WALNUT CREEK, CA 94598-1094
(925) 949-8911
(925) 949-8322
Mailing address
15550 ROCKFIELD BLVD, B220, IRVINE, CA 92618-2720
(949) 598-9999
(949) 598-9990
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC31165
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0311650
BS INDIVIDUAL PIN
CA
01
—
DC31165
DC LICENSE
CA
01
—
DE156A
INDIVIDUAL PTAN
CA
Enumeration date
02/06/2012
Last updated
02/06/2012
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