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Organization
GOSHTASBI CHIROPRACTIC INC
Active
Organization
GOSHTASBI CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAHRAM GOSHTASBI D.C. (CEO, CLINIC DIRECTOR)
(714) 283-2225
Entity
Organization
Contact information
Practice address
2950 N GLASSELL ST, A, ORANGE, CA 92865-1078
(714) 283-2225
Mailing address
2950 N GLASSELL ST, A, ORANGE, CA 92865-1078
(714) 283-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 27073
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0270730
BLUE SHIELD
CA
Enumeration date
11/07/2006
Last updated
07/28/2010
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