Organization Active NPI

Dibagohar Chiropractic, a Professional Corporation

  • Chiropractor
  • Redondo Beach, CA
National Provider Identifier
1952773624
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30890 Issued in CA
Legal business name
DIBAGOHAR CHIROPRACTIC, A PROFESSIONAL CORPORATION
Practice address
403 North Pacific Coast Highway
201
Redondo Beach, CA 90277-2839
Phone
(310) 798-8777
Fax
(310) 798-8783
NPI assigned
Oct 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Authorized official

Name
Homan Dibagohar, CHIROPRACTOR DC
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 North Pacific Coast Highway
201
Redondo Beach, CA 90277-2839

Mailing address

403 North Pacific Coast Highway
201
Redondo Beach, CA 90277
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": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1952773624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 NORTH PACIFIC COAST HIGHWAY",
            "address_2": "201",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "90277",
            "telephone_number": "310-798-8777",
            "fax_number": "310-798-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 NORTH PACIFIC COAST HIGHWAY",
            "address_2": "201",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772839",
            "telephone_number": "310-798-8777",
            "fax_number": "310-798-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIBAGOHAR CHIROPRACTIC, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "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_credential": "CHIROPRACTOR DC"
    },
    "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 Oct 21, 2015; 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.