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Individual

DR. ASHKAN JALILI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1304 15TH ST, 218, SANTA MONICA, CA 90404-1809
(310) 394-9436
(310) 394-5765
Mailing address
1304 15TH ST, 218, SANTA MONICA, CA 90404-1809
(310) 394-9436
(310) 394-5765

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC20980
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DC0280980
BLUE SHIELD
CA
Enumeration date
10/20/2005
Last updated
07/09/2007
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