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Organization
OMID JAVAHERIAN CHIROPRACTIC LLC
Active
Organization
OMID JAVAHERIAN CHIROPRACTIC LLC
Active
Other names
Metro Chiro Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMID M JAVAHERIAN D.O. (DOCTOR)
(818) 995-4614
Entity
Organization
Contact information
Practice address
16430 VENTURA BLVD., SUITE #106, ENCINO, CA 91436
(818) 995-4614
Mailing address
16430 VENTURA BLVD, SUITE #106, ENCINO, CA 91436-2115
(818) 995-4616
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC23177
MEDICARE PTAN
CA
Enumeration date
12/07/2010
Last updated
12/07/2010
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