Organization
AZIZI-SHAHBA CHIROPRACTIC
Active
Other names
ELITE BODY REVIVE CHIROPRACTIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA SHAHBA DC (CO OWNER/ PROVIDER)
(818) 912-8070
Entity
Organization
Contact information
Practice address
1111 BAKER ST STE E, COSTA MESA, CA 92626-4138
(949) 800-8665
Mailing address
1111 BAKER ST STE E, COSTA MESA, CA 92626-4138
(949) 800-8665
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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