Advanced Chiropractic & Rehab Center Patrick Khaziran DC Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-31125 Issued in CA

Legal business name

ADVANCED CHIROPRACTIC & REHAB CENTER PATRICK KHAZIRAN DC INC

Practice address

16200 Ventura Blvd.
Suite 201
Encino, CA 91436-4633

Phone

(818) 986-1203

Fax

(818) 986-1282

NPI assigned

Oct 2, 2014

Last updated

Oct 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Khaziran, D.C.NPI 1144463068

Title

President

Phone

(818) 986-1203

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick Khaziran, D.C.

  • Chiropractor
  • Encino, CA
  • NPI 1144463068
  Authorized official Same address or phone

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1104229335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16200 VENTURA BLVD.",
            "address_2": "SUITE 201",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364633",
            "telephone_number": "818-986-1203",
            "fax_number": "818-986-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16200 VENTURA BLVD.",
            "address_2": "SUITE 201",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364633",
            "telephone_number": "818-986-1203",
            "fax_number": "818-986-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC & REHAB CENTER PATRICK KHAZIRAN DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "KHAZIRAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-986-1203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-31125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Encino, CA
• Providers in Encino, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.