Active NPI
Balakhani S Chiropractic Professional Inc
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1457673840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC26604
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 DirectoryLocations
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.