Shadi Eliaspour DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC29124 Issued in CA

Legal business name

SHADI ELIASPOUR DC

Practice address

20969 Ventura Blvd Ste 23
Woodland Hills, CA 91364-6634

Phone

(818) 999-0202

Fax

(818) 999-0212

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Shadi Eliaspour

Title

Owner Doctor

Phone

(818) 999-0202

Specialties & licenses 1

Addresses

Other names 1

• Advanced Health Center Doing business as

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1760529796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 573332",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913573332",
            "telephone_number": "818-999-0202",
            "fax_number": "818-999-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20969 VENTURA BLVD STE 23",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913646634",
            "telephone_number": "818-999-0202",
            "fax_number": "818-999-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADI ELIASPOUR DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "ELIASPOUR",
        "authorized_official_first_name": "SHADI",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "818-999-0202"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jared Settles
• Patricia Eloisa Sevaaetasi
• Mahshid Seyedkazemi, PHARM.D.
• SG Detox 5156 LLC
• Helen Shaban, AUD
• Nena Rose Shadi, PHARMD
• Haleh Shafa, MD
• Karima Shagaga
• Akash Jaykumar Shah
• Jay Shah, M.D.

• Chiropractor in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.