Individual
ELMIRA GHATREHSAMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1525 MESA VERDE DR E STE 227, COSTA MESA, CA 92626-5263
(562) 922-5692
Mailing address
1525 MESA VERDE DR E STE 227, COSTA MESA, CA 92626-5263
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
36272
CA
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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