Organization Active NPI

Victor Sadeghi Malvajerdi Chiropractic

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1093172603
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
30874 Issued in CA
Legal business name
VICTOR SADEGHI MALVAJERDI CHIROPRACTIC
Practice address
3540 Wilshire Blvd
Los Angeles, CA 90010
Phone
(213) 480-3190
Fax
(213) 480-3188
NPI assigned
Jan 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Vicotr S Malvejerdi, DC
Title
Chiropractor
Phone
(310) 456-4389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 30874 CA Primary

Addresses

Primary practice location

3540 Wilshire Blvd
Los Angeles, CA 90010

Mailing address

11734 Wilshire Blvd
1314
Los Angeles, CA 90025
Phone (310) 456-4389

Other names 1

  • kohanim chiropractic inc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1093172603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11734 WILSHIRE BLVD",
            "address_2": "1314",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "310-456-4389",
            "fax_number": "213-480-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90010",
            "telephone_number": "213-480-3190",
            "fax_number": "213-480-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR SADEGHI MALVAJERDI CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "MALVEJERDI",
        "authorized_official_first_name": "VICOTR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "310-456-4389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "kohanim chiropractic inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.