Synergy Healthcare & Wellness Center

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

31908 Issued in CA

Legal business name

SYNERGY HEALTHCARE & WELLNESS CENTER

Practice address

505 South Pacific Avenue
Suite 101
San Pedro, CA 90731-2656

Phone

(310) 935-2935

Fax

(310) 751-7002

NPI assigned

Nov 2, 2013

Last updated

Nov 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mahyar D YadidiNPI 1760780597

Title

Ceo

Phone

(310) 666-4721

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mahyar David Yadidi, D.C.

  • Chiropractor
  • Beverly Hills, CA
  • NPI 1760780597
  NPD (past) Authorized official

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1871922690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1488",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907331488",
            "telephone_number": "310-935-2935",
            "fax_number": "310-751-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 SOUTH PACIFIC AVENUE",
            "address_2": "SUITE 101",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312656",
            "telephone_number": "310-935-2935",
            "fax_number": "310-751-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY HEALTHCARE & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "YADIDI",
        "authorized_official_first_name": "MAHYAR",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-666-4721",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "31908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Swearingen
• Birgitta Eva Sween, L.AC
• Jason Swiecki, FNP-BC
• Swift Medical Supply
• Terrance Franc Sy
• T & T Care Plus Medical Supply Services Inc
• Robert Tadych
• Howard Taliercio, PA-C
• Michael A Tanny
• Jennifer Hart Tansey, PH.D

• Rehabilitation Chiropractor in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Rehabilitation Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.