Individual
AZITA TABASSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3400 LOMITA BLVD, STE 502, TORRANCE, CA 90505-4988
(310) 346-3207
Mailing address
30055 AVENIDA ESPLENDIDA, RANCHO PALOS VERDES, CA 90275-5420
(310) 346-3207
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC26152
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0261520
BLUESHIELD
CA
Enumeration date
02/06/2007
Last updated
11/05/2017
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