Organization
DEVAKHSHESH CHIROPRACTIC INC
Active
Other names
new wave health care center
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED A DERAKHSHESH (CHIROPRACTOR (PRESIDENT))
(310) 652-9293
Entity
Organization
Contact information
Practice address
1016 S ROBERTSON BLVD # 1, LOS ANGELES, CA 90035-1505
(310) 652-9283
Mailing address
1016 S ROBERTSON BLVD # 1, LOS ANGELES, CA 90035-1505
(310) 652-9283
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
25524273
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC24112
CHIROPRACTOR
CA
Enumeration date
10/20/2006
Last updated
08/11/2008
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