Organization Active NPI

Soheil Mehdizadeh Chiropractic Corp.

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1245372408
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 25086 Issued in CA
Legal business name
SOHEIL MEHDIZADEH CHIROPRACTIC CORP.
Practice address
2105 Beverly Blvd
Suite# 207
Los Angeles, CA 90057-2216
Phone
(310) 704-4757
Fax
(310) 734-7567
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Authorized official

Name
Dr. Soheil Mehdizadeh, D.C., IDE, Q.M.E.
Title
President, Doctor of Chiropractic
Phone
(310) 704-4757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC 25086 CA Primary

Addresses

Primary practice location

2105 Beverly Blvd
Suite# 207
Los Angeles, CA 90057-2216

Mailing address

2105 Beverly Blvd
Suite# 207
Los Angeles, CA 90057-2216
Phone (310) 704-4757

Other names 1

  • Soheil Mehdizadeh, D.C., QME., Corp. Other name

National Provider Directory

National Provider Directory

Locations

310 N Avalon Blvd
Wilmington, CA 90744
Phone (213) 822-2610

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1245372408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 BEVERLY BLVD",
            "address_2": "SUITE# 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572216",
            "telephone_number": "310-704-4757",
            "fax_number": "310-734-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 BEVERLY BLVD",
            "address_2": "SUITE# 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572216",
            "telephone_number": "310-704-4757",
            "fax_number": "310-734-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOHEIL MEHDIZADEH CHIROPRACTIC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "MEHDIZADEH",
        "authorized_official_first_name": "SOHEIL",
        "authorized_official_title_or_position": "PRESIDENT, DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "310-704-4757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., IDE, Q.M.E."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 25086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soheil Mehdizadeh, D.C., QME., Corp.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 5, 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.