Organization
HEALTH CLINIC OF SOUTHERN CA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEDA MEHRABANI LADJEVARDI D.C,LAC (OWNER)
(818) 990-5321
Entity
Organization
Contact information
Practice address
17337 VENTURA BLVD, SUITE 203, ENCINO, CA 91316-3903
(818) 990-5321
(818) 990-6953
Mailing address
17337 VENTURA BLVD, SUITE 203, ENCINO, CA 91316-3903
(818) 990-5321
(818) 990-6953
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC25902
CA
171100000X
Acupuncturist
Primary
AC11428
CA
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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