Individual
DR. AZADEH KESHAVARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3600 LIME ST STE 210, RIVERSIDE, CA 92501-0900
(951) 683-6600
(951) 683-6644
Mailing address
3629 ALHAMBRA LN, PERRIS, CA 92571-7550
(951) 683-6600
(951) 683-6644
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC28247
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC28247
CHIROPRACTIC STATE LIC.
CA
Enumeration date
08/18/2006
Last updated
07/08/2007
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