United Spine Care, a Professional Medical Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

UNITED SPINE CARE, A PROFESSIONAL MEDICAL CORPORATION

Practice address

17200 Ventura Blvd Ste 212
Encino, CA 91316-4092

Phone

(818) 995-4488

Fax

(818) 995-3140

NPI assigned

Mar 4, 2013

Organization subpart

No

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

Authorized official

Name

Shahram Ardalan

Title

President

Phone

(818) 995-4488

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1144561929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17200 VENTURA BLVD STE 212",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164092",
            "telephone_number": "818-995-4488",
            "fax_number": "818-995-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 VENTURA BLVD STE 212",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164092",
            "telephone_number": "818-995-4488",
            "fax_number": "818-995-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SPINE CARE, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "ARDALAN",
        "authorized_official_first_name": "SHAHRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-995-4488"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Mar 4, 2013; 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.