Organization Active NPI

Balakhani S Chiropractic Professional Inc

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1457673840
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26604 Issued in CA
Legal business name
BALAKHANI S CHIROPRACTIC PROFESSIONAL INC
Practice address
11645 Wilshire Blvd
# 745
Los Angeles, CA 90025-6800
Phone
(310) 888-8802
Fax
(310) 696-0700
NPI assigned
Feb 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Authorized official

Name
Dr. Shahram Balakhani, D.C
Title
Owner
Phone
(310) 888-8802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC26604 CA Primary

Addresses

Primary practice location

11645 Wilshire Blvd
# 745
Los Angeles, CA 90025-6800

Mailing address

11645 Wilshire Blvd
# 745
Los Angeles, CA 90025-1708
Phone (310) 488-8880

National Provider Directory

National Provider Directory

Locations

11645 Wilshire Blvd
Ste 745
Los Angeles, CA 90025
Phone (310) 696-0100

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1457673840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD",
            "address_2": "# 745",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251708",
            "telephone_number": "310-488-8880",
            "fax_number": "310-696-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD",
            "address_2": "# 745",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256800",
            "telephone_number": "310-888-8802",
            "fax_number": "310-696-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALAKHANI S CHIROPRACTIC PROFESSIONAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "BALAKHANI",
        "authorized_official_first_name": "SHAHRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-888-8802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 11, 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.