Individual
ALFRED A DERAKHSHESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1016 S ROBERTSON BLVD, LOS ANGELES, CA 90035-1505
(310) 652-9283
(310) 652-9292
Mailing address
1470 REXFORD DR, #207, LOS ANGELES, CA 90035-3145
(310) 722-0800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC24112
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GDC000280
—
CA
Enumeration date
06/15/2006
Last updated
09/17/2007
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