Organization
AZITA TABASSIAN CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZITA TABASSIAN D.C. (PRESIDENT)
(310) 615-1884
Entity
Organization
Contact information
Practice address
1200 ROSECRANS AVE, SUITE#211, MANHATTAN BEACH, CA 90266-2462
(310) 615-1884
(817) 549-5159
Mailing address
30055 AVENIDA ESPLENDIDA, RANCHO PALOS VERDES, CA 90275-5420
(310) 615-1884
(817) 549-5159
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
ZZZ64463Z
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ64463Z
BLUESHIELD OF CALIFORNIA
CA
Enumeration date
02/07/2007
Last updated
08/22/2020
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