Organization Active NPI

Homan Dibagohar DC a Professional Chiropractic S Corporation

  • Chiropractor
  • Redondo Beach, CA
National Provider Identifier
1861764490
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30890 Issued in CA
Legal business name
HOMAN DIBAGOHAR DC A PROFESSIONAL CHIROPRACTIC S CORPORATION
Practice address
403 N Pacific Coast Hwy Ste 201
Redondo Beach, CA 90277-2882
Phone
(310) 798-8777
NPI assigned
Jan 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Authorized official

Name
Dr. Homan Dibagohar, D.C.
Title
President
Phone
(310) 798-8777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC30890 CA Primary

Addresses

Primary practice location

403 N Pacific Coast Hwy Ste 201
Redondo Beach, CA 90277-2882

Mailing address

403 N Pacific Coast Hwy Ste 201
Redondo Beach, CA 90277-2882
Phone (310) 798-8777

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1861764490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N PACIFIC COAST HWY STE 201",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772882",
            "telephone_number": "310-798-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N PACIFIC COAST HWY STE 201",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772882",
            "telephone_number": "310-798-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMAN DIBAGOHAR DC A PROFESSIONAL CHIROPRACTIC S CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "DIBAGOHAR",
        "authorized_official_first_name": "HOMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-798-8777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.