Individual
BAHRAM GOSHTASBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8821 VALLEY VIEW ST, BUENA PARK, CA 90620-3528
(714) 527-3332
(714) 527-3313
Mailing address
8821 VALLEY VIEW ST, BUENA PARK, CA 90620-3528
(714) 527-3332
(714) 527-3313
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC27073
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0270730
BLUE SHIELD
CA
Enumeration date
10/03/2006
Last updated
04/21/2020
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