Individual
MRS. BAHAREH MISSAGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
124 N VIGNES ST, LOS ANGELES, CA 90012
(213) 626-5679
(213) 680-0185
Mailing address
465 S MADISON AVE, #106, PASADENA, CA 91101
(626) 744-2961
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC28401
CA
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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