Individual provider Active NPI

Mounir Rahhal, DC

  • Chiropractor
  • Anaheim, CA
National Provider Identifier
1417218033
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29514 Issued in CA
Practice address
9918 Katella Ave Ste C
Anaheim, CA 92804-6466
Phone
(714) 625-8320
NPI assigned
May 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29514 CA Primary

Addresses

Primary practice location

9918 Katella Ave Ste C
Anaheim, CA 92804-6466

Mailing address

9918 Katella Ave Ste C
Anaheim, CA 92804-6466
Phone (714) 625-8320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC29514CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1417218033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9918 KATELLA AVE STE C",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046466",
            "telephone_number": "714-625-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9918 KATELLA AVE STE C",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046466",
            "telephone_number": "714-625-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHHAL",
        "first_name": "MOUNIR",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.