Organization
LA VERNE FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AFSHIN KAIVAN-MEHR D.C. (OWNER)
(909) 596-1038
Entity
Organization
Contact information
Practice address
2138 BONITA AVE, LA VERNE, CA 91750-4915
(909) 596-1038
(909) 596-6059
Mailing address
2138 BONITA AVE, LA VERNE, CA 91750-4915
(909) 596-1038
(909) 596-6059
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
DC-30602
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205032653
CHIROPRACTIC
CA
Enumeration date
11/19/2007
Last updated
11/19/2007
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